HealthAxis Case Study: Freedom Health and Optimum HealthCare

AxisCoreTM for Health Plans & Risk-Bearing Providers

A cloud-powered core administrative processing platform for modern healthcare.

Unlock Your Competitive Edge with Core Administrative Processing System (CAPS)

With over 60 years of experience in healthcare administration, AxisCore™ delivers a proven, cloud-based core administrative processing system (CAPS) designed to streamline health plan operations. Our modular, flexible platform automates complex processes, eliminating inefficiencies and enabling seamless administration.

Meticulously crafted to optimize benefits administration, healthcare claims processing, and overall health plan management, AxisCore™ empowers your organization to thrive in today's dynamic healthcare landscape.

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AxisCore™

For Health Plans & Risk-Bearing Providers

HealthAxis' integrated, compliant CAPS technology supports the delivery of high-quality care and increased ROI for our clients. Our proprietary software solution offers a suite of tools to optimize your healthcare plan administration. Hover over the cards below to explore these features

Appeals & Grievances

Manage Appeals & Grievances seamlessly with our integrated module and dedicated team.

Claims Adjudication

Accurately handle claims with rules-based logic configuration and automation.

Configurable Rules Logic

Configure and automate claims processing logic without heavy development resources, thanks to our intuitive rules engine capabilities.

Customer Service Management

Log, track, and route customer service interactions, ensuring compliance and excellent experiences for members, providers, and staff.

Encounter Data Submission Support

HealthAxis provides submission-ready files and response updates, eliminating manual data entry and ensuring accuracy.

Enrollment & Eligibility

Efficiently manage CMS-integrated enrollment with automatic CMS file handling and real-time updates.

Extensible Integration Interfaces

Support all desired health plan data exchanges, including FHIR®, with extensive integration capabilities so you can seamlessly connect with your partners.

Premium Billing

Efficiently bill members with invoice and payment tracking, including late fees.

Provider Portal

Empower your providers with seamless integration, offering real-time claims status checks, swift authorization submissions, and streamlined administrative support.

Provider and Member Data Management

Standardize provider and member data for accurate claims adjudication, so you can avoid costly delays.

Reporting

Customize reporting to meet each client's needs and gain insights that drive better decisions.

Utilization Management

Streamline authorization reviews and updates for efficient determinations. 

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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
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The Power of a Cloud-Native Platform

Optimize your operations with our cloud-based platform, available through flexible software licensing, designed to automate core administrative processes and enhance efficiency. Eliminate fragmented systems and embrace a unified solution that simplifies claims, enrollment, provider data, billing, and more—boosting productivity while reducing complexities.

Smart Automation - Utilize AI, RPA, intelligent workflows, and data analytics to drive operational efficiency.

Customizable Design - Tailor workflows, benefits, and interfaces to fit your unique needs.

Flexible Claims Processing - Real-time claims management with robust reporting and analytics tools.

Comprehensive Provider Management - Streamline provider networks with integrated data tools and dashboards.

Automated Support - Enhance member satisfaction with automated customer service features.

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See What Our Clients Are Saying

Our experience with HealthAxis spans many years and has been very satisfying. HealthAxis and our dedicated team have consistently demonstrated professionalism, and they have continued to perform at a high level. Their ability to adapt to our needs as it relates to Part B administration has been more than flexible and accurate. HealthAxis has displayed an ability to learn our clients' plans and help to ensure compliance with the ever-changing Medicare landscape. I truly appreciate and value the relationship with HealthAxis.

TPA Client

Vice President & General Manager
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

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See the power of HealthAxis.

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