We combine world-class personal support with highly trained, industry-knowledgeable professionals and leading-edge technology including industry-leading products including but not limited to HealthEdge, QNxt, Facets, etc. to deliver a comprehensive set of proven services and solutions for healthcare payers.
Meeting customer expectations through Flexible Architecture.
Addressing Deteriorating Combined Ratios by Embracing Automation and Plug-in Leakages.
Reducing prolonged Cycle times through efficient Process Management.
20+ Payer Clients.
Expertise on Medicaid, Medicare, Dual, Commercial, and Marketplace LOBs.
Impact: 80M Patient Lives.
90%+ clean claims processing in 1st pass of adjudication.
10+ Solution Platforms across digital Transformation claims Management and Patient Engagement.
What we offer
Strategic business case scenario planning.
Claim product evaluation.
Claim modernization evaluation framework.
Product and Packages
Implementation of leading claims management products.