BPO for Health Plans

Enabling information-driven healthcare over the entire ecosystem

Services /Business Process Outsourcing /BPO for Healthcare & Life Sciences /BPO for Health Plans

Design Products, Engage With Consumers

Demands on healthcare plan organizations are palpable. Today health plan’s administrative roles have exploded beyond traditional claims processing, enrollment and payment accuracy. The shift from an insurance provider to additional role as care provider demands new approaches to meet business profitable and consumer satisfied. For more than 30 years, our healthcare business process outsourcing (BPO) team has implemented the processes and technologies for health plans that bring about real transformation for

customers of all sizes. Our end-to-end administrative services help you streamline operations, improve productivity and strengthen cash flow to stay competitive and improve member satisfaction. We can help you work smarter by reducing the cost and make the best use of your staff members by putting their time and resources toward crucial areas such as claims management, care management or member and provider relations.

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AI: Risk, Reward and Hype

For health plans, AI adoption holds promise – but it’s not without challenges. It’s time for a reality check. Our webinar explores a recent study, conducted by NTT DATA and Oxford Economics, highlighting what leaders and associates are experiencing around security, privacy and lack of transparency of the automated decision systems.


Empower healthcare consumers with online enrollment and administrative capabilities.


NTT DATA is ranked a Leader in Healthcare Payer Operations in the Everest Group Healthcare Payer Operations – Services PEAK Matrix™ Assessment. – July 2020

Our Services

Front Office

Make your front office shine with solutions for your sales team, enrollment call centers and direct marketing.

Middle Office

Address cost of care issues with critical care management solutions built to improve members’ health and well-being.

Back Office

Streamline core processes such as claims processing, billing, customer service, enrollment and more.

Everest Group named us a Leader in Healthcare Payer Digital Services, citing our business-first approach and end-to-end services. – January 2020