Business Process Outsourcing Services
Our dedicated teams, empowered by technology, bring together different sectors of the health care landscape. We leverage data and our expertise to help you enter new market sectors, administer complex plan designs, and gain efficiencies through our processes — all while constantly improving the customer experience.
With our business process outsourcing services, we help you benefit simultaneously from customization and automation. Accuracy and efficiency. Strategic guidance and effective execution. We are helping to improve the experience of accessing high-quality health care while also helping to reduce costs.
Health Plan Management
We administer custom health plan designs, with deep network discounts, claims adjudication, health management, and superior client service.
Health & Disease Management
Our services help empower and support members in their health decisions, while helping to address potential risks in member populations.
Consumer-Directed Health
Our programs help control rising health care costs and encourage health plan members to take a more active role in their health care decisions.
Claims Management
Our sophisticated system helps improve first-pass rates, which helps to improve consistency, reduce human error, and expedite provider payment.
Intelligent Reporting
We provide comprehensive reports that measure plan performance and can help identify cost drivers.
White Label Tools
We’ll help put the resources your clients and members need in their hands and give you all the credit.
New World Programs
We help develop innovative programs, including new cost-saving strategies and more insightful resources.
Niche Market Expertise
We bring expertise in a variety of vertical markets, including unions, hospital and health systems, correctional facilities, and government.