Case Study: Fortune 500 Health Plan achieves paperless, faster member enrollment and lower operational costs with Newgen Software

Member Enrollment Process Automation for a Fortune 500 Health Plan

A Fortune 500 health plan serving nearly 6 million members across Medicaid, Medicare Advantage and Prescription Drug Plans struggled with slow, error-prone enrollment: agents relied on paper forms or a rigid web portal that couldn’t be easily configured, leading to high overhead for printing and mailing, long turnaround times, tracking and compliance gaps, and lost business.

Newgen deployed a mobile-first, paperless enrollment solution built on its NEMF framework with real-time integrations (CRM, claims adjudication, CMS, address validation and enrollment systems), extensive configurability, multi-device support and enterprise security. The result was faster cycle times and time-to-market, lower operational costs, higher first‑time accuracy and compliance, improved agent productivity and 24/7 member onboarding that increased enrollment opportunities.