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Health Plans

Revolutionize the way you launch products and engage consumers

The health insurance market is more competitive than ever, with a new focus on individual consumers. From efficient operations and integrated health management to effective engagement with consumers, we have the technology to help you succeed.

Today’s health plan industry is exploding with opportunities to reach new markets, retain and attract members and engage consumers in innovative ways to grow your business. NTT DATA can help you rethink your health plan strategy so you can unleash the power of revolutionary technologies and services to reset expectations about what’s possible. Through integrated analytics, mobility, marketplace technologies, social media and automated business processes, we can help you achieve meaningful business outcomes across every aspect of your insurance organization.

Healthcare payer streamlines payment processing with business process outsourcing


We can help you


Enhance member, provider and health plan interactions with systems that increase convenience and trust


Make informed clinical and financial decisions with data-driven insights


Pivot quickly in with an agile, secure infrastructure


Engage your members with solutions to help them manage their coverage and their care

Health Plans Application Services

Maximize the value of your existing applications and get better performance from your current health plan applications.


Be more responsive and productive with modernized applications

Our Solutions:
  • Portfolio Assessment
  • Application Re-Hosting
  • Application Re-Architecture
  • Enterprise Application Services

Business Intelligence and Analytics

Turn data into insights that help you manage costs and risk and attract the customers you need.


Manage costs and risks by turning data into insights

Our Solutions:
  • Analytics Platform, Software and Solutions
  • Data Integration Services
  • Predictive Analytics
  • Consulting

Business Process Solutions for Health Plans

Gain meaningful insights from your data to identify risks and manage costs as well as attract customers.


Stay competitive with streamlined operations, increased productivity and improved cash flow

Our Solutions:
  • Front Office
  • Middle Office
  • Back Office
  • Business Process Management Suite
  • Automated Full-Time Equivalent
  • Staffing Solutions
  • Business Process as a Service (BPaaS)

Enrollment and Billing

Successfully launch your private exchange with integrated enrollment and billing capabilities for real-time transaction processing and accelerated product introductions.


Improve payment accuracy with streamlined enrollment and billing

Our Solutions:
  • Rating and Quoting
  • Enrollment and Eligibility Verification
  • Customer Service Representative Dashboard
  • Interfaces and Integration
  • Compliance and Reporting
  • Premium Billing and Payment
  • Quality Assurance and Testing

Payment Integrity

Improve payment integrity and maximize revenue recoveries with proven toolsets for screening, scoring and coordinating benefits.


Capture more revenue and reduce inappropriate claims payments

Our Solutions:
  • Reduce Fraud and Waste
  • Coordination of Benefits
  • Subrogation
  • Third-Party Recovery
  • Utilization Management
  • Consulting and Integration

Coordinated Care Management

Expand access to coordinated healthcare to reduce costs and manage reimbursement risks with innovative telehealth kiosks, marketplace portals, remote monitoring, mobile medical devices and care management solutions.


Improve outcomes with more effective care management

Our Solutions:
  • Integrated Care Management
  • Remote Monitoring and Care Delivery
  • Telehealth
  • Mobile Health
  • Virtual Visit And Teleconferencing
  • Consulting and Program Design

Third-Party Solutions

Take third-party administrative capabilities to the next level with proven high-performing claims platform implementation, application migration, analytics, hosting and business processes.


Transform how you serve customers with new products and services

Our Solutions:
  • Implementation /Upgrade and Delivery Management
  • Configuration, Conversion, Integration and Development
  • Quality Assurance and Testing
  • BPO and Business Process Design
  • Data Analytics and Reporting
  • Member Care Management
  • Consulting and System Tuning
  • System Support and Configuration Management

Health Plan Consulting

Enhance your strategy and operations to meet changing customer needs.


Enhance your strategy and operations to meet changing customer needs

Our Solutions:
  • Strategy and Architecture Consulting
  • Core Platforms Recommendations and Planning
  • Accountable Care Organizations
  • Integration
  • Population Health Management
  • Infrastructure
  • Staff Augmentation

Get started today