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Administrative services

Experienced teams. Proven workflows. Full transparency.

Teams running proven workflows on top of CIM, with complete visibility for you across enrollment, claims, encounter data, and member and provider service.

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What the teams do

Five things our service teams are built to do

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Reduce complexity

Experienced teams at scale, optimized workflows, and established best practices, so the work gets simpler, not harder.

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Deliver quality

Integrated QA and audit processes built into the way the work is run, not bolted on after the fact.

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Insight & oversight

Operational dashboards, workflow involvement, and full access to your data.

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Encourage partnership

Process design tailored to your plan today and as you grow.

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Maintain compliance

We partner with you to stay ahead of regulatory changes instead of scrambling after them.

High-level capabilities

Everything the service teams can take on

Administrative services

  • Enrollment & attribution management
  • Premium billing
  • COB / TPL support
  • Material fulfillment (EOB, IDN, NOABD)
  • Claims administration
  • Encounter data management
  • Member & provider customer service
  • Data aggregation, integration & reporting
  • Benefit, fee schedule & system configuration

CIM-enabled workflows

  • Enrollment management / patient attribution
  • Claim processing & payment
  • Encounter aggregation
  • Non-claims-based payments
  • Member & provider support
  • Utilization management
  • Care management
  • Provider portal
  • Operational, performance & quality insights
  • Health plan configuration & workflows

How we engage

From discovery to hypercare

Five stages. Transparent at every step, because we'd rather earn the partnership than rush it.

  1. 01

    Discovery

    We learn your needs, share capabilities, and identify how Ayin can best support your plan.

  2. 02

    Pricing

    Transparent pricing tailored to scope, enrollment volume, and operational requirements.

  3. 03

    Contracting

    Clear responsibilities, SLAs aligned to your priorities, and flexibility built into the model.

  4. 04

    Implementation

    Established toolkits for configuration, data migration, testing, and training.

  5. 05

    Hypercare

    Elevated support after go-live to ensure a smooth transition and rapid issue resolution.

Next step

Let's continue the conversation.

We'd like to share our solutions with you and demonstrate how we can serve your plan, your members, and your needs.

Ask for a tailored demo