Gain meaningful insights from your data to identify risks and manage costs as well as attract customers.
Support strategies for interoperability, scalability, and cloud computing
Reduce dependence on legacy application portfolio
Imbed process maturity and innovation into service delivery
We offer a wide range of solutions to meet the administrative needs of health plans.
• Sales call center
• Enrollment call center
• Direct marketing
Solve the cost of care issue with solutions focused on improving services and members’ health and well-being.
• Care management
• Disease management
• Utilization management
• On-site nurse support
Streamline core processes such as claims processing, billing, customer service, enrollment and more, and adopt payment integrity solutions that add value.
• Mail room (print and fulfillment)
• Claims processing
• Premium billing and collection
• Plan updates
• Provider services
Manage your processes with our end-to-end service delivery and transformation tool.
• Knowledge management and learning portal
• Client extranet/global collaboration portal
• Reporting and dashboards
• Automated full-time employee
• Integration layer
• Access layer
Get a combination of tools that work across various vertical and horizontal processes.
• Medical coding
• Demo entry
• Payment posting
• Charge entry
• Claims processing
• Account receivables
Mobilize resources on demand. We can provide highly skilled staff on a temporary or permanent basis to work under your direction. Staff can be on site within days of your request.
• Claims staff support
• Claims and call center audit
• Call center staff support
• Configuration, business analysis and project management
• Eligibility and enrollment administration
• System conversion support
The revolutionary new service delivery model that provides a software application, business operations staff, and an infrastructure platform, all at an economical consumption-based PMPM cost.
• Rapid value realization liberates resources for core business and investment
• Supports strategies for interoperability, scalability, and cloud computing
• Diversion of responsibility for business process, applications, and infrastructure to service vendor
• Reduce dependence on legacy application portfolio
• Imbeds process maturity and innovation into service delivery
• Aligned incentives between client and service vendor