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Reduce Costs and Increase Member Satisfaction With Our BPaaS and BPO Solutions

Payers can leverage a more holistic approach to operational challenges with AxisConnect™, our comprehensive suite of BPaaS and BPO services.

Boost efficiency

Optimize back-office functionality

Backed by seasoned healthcare professionals

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Dedicated to Driving Operational Excellence

Whether it’s through outsourcing critical business processes, augmenting your staff with expert talent, or providing strategic consulting, HealthAxis is committed to driving operational excellence in every aspect of your business.

Program of All-Inclusive Care for the Elderly (PACE) programs

Appeals & Grievances

Our Appeals & Grievances services offer a comprehensive solution to streamline the process. Your team gains the flexibility to view, enter, and update cases while exporting logs in PDF and Excel formats.

Claims Administration

Our easily configurable, cloud-based claims processing and adjudication solutions for health plans offer a flexible and cost-effective approach.

Credentialing

By leveraging our platform, you can quickly and easily review credentials, analyze qualifications, and make committee decisions on provider participation in your network.

Consulting

Encounter Data Processing System (EDPS)

HealthAxis EDPS solution goes beyond data submission, offering comprehensive data processing, compliance, error correction, and strategic guidance for Health Plans managing encounter data.

Enrollment

HealthAxis simplifies enrollment for all health plan types through automation and seamless integration. We effortlessly process applications, manage coverages, handle reconciliations, and more.

Call Centers

HealthAxis delivers top-tier call center outsourcing, catering to member and provider needs. Our seasoned agents leverage cutting-edge tech and tailored training to manage diverse inquiries, adaptable to your unique requirements.

Medical billing premium chart

Premium Billing

Our cloud-based platform automates premium billing and payments, providing seamless application management, premium configuration, invoice scheduling, and payment posting for multiple lines of business, all under one system.

Provider Management and Reimbursement

Our cloud-based provider and network data management solution offers a flexible and scalable technique to overcome this challenge.

Reporting

Our cutting-edge information services reporting provides rapid data flow and customizable out-of-the-box reporting, offering a comprehensive data set and ensuring data security.

HealthAxis

System Configuration

With our experienced team, we closely examine your business needs, optimize processes, and ensure seamless implementation to minimize risks and deliver superior performance.

Fulfillment

Our system automates letter creation, whether for on-demand printing or routing to vendors. It also manages CMS-required letters, ID card triggers, EOBs, and EOPs, while offering robust security controls.

Third-Party administrators being helped with healthcare solutions

Utilization Management

Our team and systems evaluate the medical necessity and determinants of medical services provided by participating and non-participating physicians, hospitals, and other ancillary providers.

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HealthAxis by the Numbers

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Years of Experience

$0B+

Claims Paid Annually

0M+

Claims Processed Annually

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Health Plans Served

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Benefits Plans Managed
business process as a service, claims processing

Unmatched Advantages: Elevating Your Operations

Integrated - Stand-alone cutting-edge technology and TPA Services within one company. Integrated with CMS directly for enrollment.

Modular - Flexible, a-la-carte service offering.

Adaptable - Service offering evolves with growth and internal changes. Onshore and offshore options available.

Cost-Effective - Ability to scale down to provide high-quality with cost-effective pricing options.

Experienced - For nearly 60 years, we've served a diverse array of healthcare organizations, including payers with commercial, Medicare, Medicaid, PACE, and special needs plans, risk-bearing providers, as well as third-party administrators. 

Modern - HealthAxis-owned platform is leveraging the latest technology to handle today’s claims requirements. 

See What Our Clients Are Saying

The team at HealthAxis is extremely helpful and informative. Their knowledge base for ideas, problem solving, and delivery are done so with outstanding quality and readiness. HealthAxis recognizes our concerns and they address them clearly and concisely by demonstrating superb product and system knowledge which earns our trust in their abilities.

Sharon Abney

Chief Operating Officer
InsuranceTPA.com Administrators
Over the course of our 22-year relationship, HealthAxis has provided exceptional service and support to our team. We value the collaboration and knowledge that their team brings to the table to address our concerns timely and efficiently.

Jennifer Moore

Vice President of the Group Health Program
NTCA–The Rural Broadband Association
HealthAxis has consistently met the Medicare supplement processing needs of our organization since January 2014. We can rely on them to process timely, error-free results. They maintain open communications and are very responsive to our processing and/or programming needs. We have asked for many processing upgrades over the years, and we have never had a request be denied or not be completed within time constraints. Questions are given top priory and solutions to issues are presented without prompting. Consistency is paramount, with minimal changes to the staff that supports us over the years. Overall, the relationship has been one in which we can truly trust they will meet the needs of our organization and policyholders.

Kevin Roberts

Sr. Vice President of Insurance Operations
United Commercial Travelers of America

The HealthAxis platform is a user-friendly system that allows for a smooth communication between each application. This allows for multiple departments to handle member customer service in an efficient manner.

Freedom Health and Optimum HealthCare

Learn More About Our Comprehensive Suite of Tech and Services

Pair our experts with best-in-breed technology and services designed to maximize operational efficiency and elevate the member experience.

  • Optimize IT Frameworks

    Core Admin Tech

     Leverage our modern CAPS platform designed to enhance crucial human interactions, optimizing efficiency and improving service quality in key administrative areas.

  • Consulting

    Consulting

    Harness our expertise in core system optimization, contact center augmentation, and compliance adherence, for tailored solutions across all plan types.

  • Staff Augmentation

    Staff Augmentation

    Gain instant access to our deep bench of operational resources. We can deploy on-demand, top-tier talent to support your claims, enrollment, IT, and contact center labor needs.

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FAQs

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