SMART® Health Insurance Exchange
Service Center Solutions

The Affordable Care Act, passed by the U.S. Congress in 2010, mandates that the states operate a marketplace for residents to buy affordable, private health insurance. The Health Insurance Exchanges (HIX) marketplace aims to provide affordable health insurance to more than 23 million Americans.

The SMART® HIX Service Center Solution delivers a comprehensive case management and policy automation solution to enable States and Commonwealths to provide Health Insurance related services to its Citizens.

The SMART® HIX Solution is built on our tested and proven solution builder, SMART® ICE (Intelligent Configuration Environment), which is the most advanced and scalable solution development platform and best suited to build, support and maintain any modern digital transformation solution.

Key Functions and Features:

  • Highly intuitive, dynamic, and profile-based user interface
  • Enhanced Single Sign-On (SSO) and Multi Factor Authentication (MFA) functionality
  • Highly synchronized Call, Email and Chat channels integration
  • 360-degree view of customer data in real-time
  • Intelligent Queue Management system
  • Enhanced SLAs and escalations through workflow management
  • Superior knowledge base management system
  • Holistic reporting with profile-based dashboards and detailed analytics
  • Highly secured FISMA-compliant NIST-certified application
  • Hassle-free real time and batch mode integrations with several external systems such as CTI, IVR, data sources, and portals
  • Capable of incorporating other channels such as a) Chatbot, b) social media, c) Kiosk, d) Siri, e) Alexa, etc.

Business Value:

  • Improved efficiency and user experience through built-in service automation process
  • Quick user adoption
  • Guaranteed zero-risk deployment
  • Enhanced adaptability to changes, both technology and business related
  • Straight-forward and quick-to-deploy
  • Ease of support and maintenance
  • Improved service delivery
  • Easily scalable to accommodate any surge in customers, transactions and service requests