With ever-changing regulatory oversight and continuously increasing expectations for member and provider service levels, healthcare payers must transform how they do business if they wish to remain competitive.
Speed, accuracy and agility are essential differentiators. Our purpose-built healthcare payer solutions help you meet the demands of a dynamic industry.
Built on an industry-leading content services platform, our flexible, scalable solutions help drive accelerated performance and innovation to meet the demands of this dynamic industry.
Appeals & Grievances
An end-to-end A&G solution for quality member service and accurate resolution.
Create consistent, compliant and customized member/provider communication.
Core System Integration
Provide staff easy access to critical data for efficient claims resolution.
Medical Claim Review
Automate tasks, measure and monitor activity to streamline claims management.
Build your network, ensure accurate credentialing and simplify outreach.