Healthcare · Outbound

Renewal & Open-Enrollment Outreach

Reaches members ahead of renewal and enrollment deadlines, states the approved next step, and passes plan-specific questions to your team, without a seasonal hiring cycle.

The challenge

Renewal season arrives on a deadline, and the call volume arrives with it.

Where it breaks down:

Outreach has to reach many members inside a short window.


What it costs:

Teams staff up temporarily, or accept that some members are missed.

Members ask the same first questions: what's changing, what do I do, by when?


What it costs:

Staff answer them again and again.

Members who miss a deadline often don't know it passed.


What it costs:

Coverage gaps, and avoidable re-enrollment work.

The approach

We looked at what members actually need from a renewal call, and what shouldn't be left to an automated agent.

  1. The window is fixed, so volume is concentrated into a few weeks.
  2. Most calls need only the deadline, the next step, and who to contact.
  3. Plan advice and eligibility decisions are not for an automated agent.

The agent had to:

  1. Scale up for the window without a hiring cycle.
  2. Give clear next steps from approved wording only.
  3. Pass plan-specific questions to your team.
The solution

A RevAIvo Voice outbound agent running your approved renewal script across your member list.

1

Surge-ready

Runs the campaign across your member list when volume peaks, without a seasonal hiring cycle.

2

Approved wording only

States the deadline and next step you've approved, and answers only within that scope.

3

Callbacks noted

Records members who want a call back or more time, so staff follow up with the right people.

4

Review in Pulse

See who was reached, who wasn't, and how each call ended, by outcome.

It brings in your team when…

Scoped narrow on purpose. Where you've set a number it can connect the caller; otherwise it logs a callback request for your team.

  • The member asks which plan to choose.
  • The member disputes their eligibility or coverage.
  • The member reports a change in circumstances that may affect eligibility.
  • The member asks for a person.

What the call sounds like

Illustrative exampleNot a recorded call
Agent

Hello, this is a call for Sam Rivera about your plan renewal. Am I speaking with Sam?

Member

Yes, that's me.

Agent

Thanks, Sam. Your renewal deadline is the 15th of next month. Do you know what the next step is?

Member

Not really. Is my plan changing?

Agent

I can't advise on plan changes, but I can tell you how to start your renewal. For questions about your plan, I can log a request for a specialist to call you. Would you like that?

Member

Yes, please. And can you send me the steps?

Agent

Of course. When we hang up, I'll text you the steps to start your renewal, and log a request for a specialist to call you about your plan.

Afterward: Calls that ended with a handoff or a callback request are visible in Pulse by outcome, so nobody is left waiting. The confirmation goes out when the call ends.

Sent after the call

TextWhen the call ends with a member who wants the renewal steps

Your renewal deadline is the 15th of next month. Here are the steps to start your renewal: northvale.example.org/renew.

Message wording is illustrative and deliberately minimal: no health details. It goes out when the call ends, based on how the call went.

What changes for your team

An illustrative scenario:

400renewal calls a month your team wouldn't have to make
33 hoursof staff time back each month
Every calllands in RevAIvo Pulse with its outcome, ready to review

Say your team handles 1,000 renewal calls a month, and the agent takes 40% of them end to end, at an assumed 5 minutes a call. These figures are assumptions for illustration, not customer results.

In a pilot we measure this with you, on your own calls in RevAIvo Pulse: calls connected, when members pick up, and outcomes by disposition.

The result

Renewal outreach that scales with the deadline, without scaling your headcount.

Members reached in the window, and the harder questions passed to your specialists.

Similar use cases

All healthcare use cases

Hear it on your own scripts.

Book a live call and we'll scope this to one call type, using your own scripts and rules.

Book a live call

These use cases are illustrative and for informational purposes only. The organizations, people, phone numbers, links, and messages shown are fictional examples, and any resemblance to real businesses or individuals is coincidental. Scenario figures are assumptions, not customer results. Actual results depend on your call volumes, scripts, and setup.