Discover how Coverage Voice integrates with the HL7 v2/v3 Interfaces to access real-time plan and formulary data, streamline Medicare enrollment automation, and improve member experience through transparent plan comparisons.
Integrating the HL7 v2/v3 Interfaces with Coverage Voice connects your call center or enrollment platform directly to live CMS-approved plan databases. This enables voice agents and automated workflows to instantly retrieve plan premiums, drug coverage, and provider networks, delivering personalized, compliant conversations that increase enrollment accuracy and member trust.
Key Plan Data and Enrollment Benefits
Real-Time Plan Lookup
Coverage Voice connects directly to HL7 v2/v3 Interfaces's public API endpoints to access live Medicare Advantage. Voice AI agents can instantly compare plan options by ZIP code, monthly premium, deductible, and network availability during calls, improving speed-to-lead and enrollment conversion rates.
Automated Formulary and Drug Coverage Checks
With API-based formulary integration, Coverage Voice retrieves drug-tier information, prior authorization requirements, and copay details in seconds. This helps agents and beneficiaries make informed decisions about medicare coverage, ensuring plan selection accuracy and compliance with CMS marketing rules.
AI-Enhanced Plan Recommendations
Coverage Voice's AI conversation intelligence leverages HL7 v2/v3 Interfaces data to personalize plan discussions. Voice AI agents match beneficiary needs with plan benefits, pharmacy networks, and extra coverage options like vision, dental, and hearing, improving member satisfaction and persistency rates.
Digital Enrollment Automation
The integration supports end-to-end enrollment automation, where verified plan data flows directly into connected CRMs (Salesforce, HubSpot, Zoho) and EHR systems (Athenahealth, Epic). This ensures each digital enrollment remains consistent, compliant, and pre-filled with accurate plan and formulary details.
Compliance and Data Accuracy
Both Coverage Voice and the HL7 v2/v3 Interfaces operate under CMS and HIPAA data governance. All plan and formulary lookups are CMS-approved, ensuring your agents and AI workflows always present compliant and current information, reducing the risk of outdated or misleading plan details during AEP and OEP.
Enhanced Member Education & Retention
By integrating real-time data, Coverage Voice empowers members to explore cost transparency, understand coverage gaps, and stay informed about plan changes year-round. The result: higher member retention, improved Star ratings, and fewer post-enrollment disputes.
Data-Driven Plan Insights
The HL7 v2/v3 Interfaces integration also feeds plan performance data into Coverage Voice's analytics engine, enabling dashboards that track enrollment trends, popular plan types, and regional adoption patterns. These insights guide AEP marketing strategies and optimize resource allocation for future campaigns.
Experience Data-Driven Plan Comparison & Enrollment
Modernize your Medicare enrollment experience with a live connection to HL7 v2/v3 Interfaces's plan data. Combine Coverage Voice's conversational AI with real-time CMS data to deliver accurate, compliant, and personalized plan recommendations automatically.
Book a demo today to see how Coverage Voice + HL7 v2/v3 Interfaces powers real-time plan comparison, formulary lookup, and compliant digital enrollment for modern Medicare organizations.