Is  A Member Currently Eligible To Receive Service?

FlexVP Managed Care Applications

ISG has created a series of IVR applications that can be selectively integrated to provide custom call handling solutions for health care organizations.


Member Eligibility

Our eligibility application allows a physician or specialist provider to use a touch-tone telephone to confirm coverage status based on a member ID number.

Membership eligibility information is determined through a real-time data link between the FlexVP system and the MCO?s membership database. This on-line data connection insures that information provided to the caller is current.

Other information that can be given or faxed to the caller includes:

  • Benefit plan coverage data
  • Member name
  • Primary care physician name and telephone number
  • Plan and group codes
  • Plan and group expiration dates

Voice Response Overview

FlexVP IVR Platform

FlexVP allows callers to automatically access healthcare and member information using a touch-tone telephone. Applications include verification of member eligibility, obtaining member benefits information, accessing status of claims information, and authorizations / referral entry and review.

This information is obtained through an interface to the managed care organization's claim system. ISG has integrated the FlexVP interactive voice response (IVR) system with healthcare claims systems offered by: DST Health Solutions, Perot Systems, Erisco Facets, Ika Systems, and OAO Healthcare.

FlexVP can access network or LAN databases including Microsoft SQL, Oracle, MySQL, etc. using a data view, stored procedure or web service.

For legacy products,  FlexVP can connect to mini or mainframe computer using 5250, 3270, VT100 or other terminal emulation.


FlexVP Benefits

  • Information available 24 hours a day, 7 days a week
  • Faster service to providers and members
  • Decreased wait times and abandonment rates
  • Increase call capacity without adding service reps
  • Customer defined levels of login and password security
  • On-line, real-time system status checks and reporting
  • Provide consistent information to insure HIPAA compliance

2009 Insurance Systems Group, Inc. P.O. Box 50387 Raleigh, NC 27650