A small eligibility-control failure can become a trust decision quickly.
Fast containment matters, but evidence must be strong enough to support a permanent correction.
Who you’d be doing this for
“I need proof this is fixed, not another promise that it won’t happen again.”
Sahil Arora · Director of Total Rewards
Leads benefits governance for the employer that identified the eligibility-control issue.
What is at stake
An audit found 23 messages that reached terminated employees, and the customer wants a cure within 30 days. The fix affects every member and cannot be undone once you attest, so you settle what evidence counts as closure.
Why it isn’t already fixed
Every obvious fix costs something else. That’s the part you’d have to decide.
- rapid cure vs. verified proof
- permanent suppression vs. active-member continuity
- customer assurance vs. residual uncertainty
- privacy control vs. fragmented member experience
Why Sword Health
For covered virtual care, eligibility accuracy often sits close to member trust and customer assurance.
Written with these in mind
Not your kind of problem? 2 more at Sword Health, or browse every organization.
This is the setup. The work is inside.
Running it puts you in the room: the full situation and its constraints, stakeholders who push back in their own words, and the decisions that are yours to make. What you produce becomes a Day One Plan — work you can show someone instead of describing.