HealthAxis Case Study: Freedom Health and Optimum HealthCare

AxisCoreTM for TPAs

A core administrative processing platform trusted by third-party administrators (TPAs), backed by 60 years of industry experience.

 

 

Core Administrative Processing System Built for TPAs: Scalable, Proven, and Modernized

Backed by 60 years of indusry expertise, HealthAxis delivers trusted technology tailored to the evolving needs of third-party administrators (TPAs). AxisCore™ powers 65+ benefit plans, equipping TPAs with a modern, intuitive interface while retaining the robust functionality needed to streamline operations, drive efficiencies, and ensure compliance.

Designed for flexibility and scalability, AxisCore™ grows with you—empowering your organization to optimize workflows, expand service lines, and deliver measurable results.

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AxisCore™

For Third-Party Administrators

Efficiency and compliance go hand in hand—AxisCore™ automates workflows, reduces errors, and keeps TPAs ahead of regulatory changes.

Our core administrative processing system is designed to meet the unique needs of Commercial ASO & fully insured products, offering flexible claims adjudication, multi-line benefit support, and compliance solutions that drive efficiency and scalability. Hover over the cards below to explore these features.

Real-Time RX/Medical Integration

  • Serves Multiple Business Lines
  • Indemnity Plans (Medical, Dental, Vision, Prescription)
  • Medicare, PPO & POS
  • FSA, HRA, HSA & Section 105
  • Disability (STD/LTD)

Flexible Claims Adjudication

  • Enhanced auto-adjudication through customizable business rules

Extensive Network and Fee Schedule Capabilities

  • Pre-Priced / Automated Pricing / Re-Pricing Feature
  • Unlimited network agreement management support

Compliance with CMS Mandates

  • Ensures adherence to critical regulations, including:
    • No Surprises Act Claim Handling
    • Transparency In Coverage Reporting
    • Continuity of Care Letter

Trusted by TPAs to Deliver Measurable Results, Backed by 60 Years of Industry Experience

With over 60 years of experience in healthcare administration, HealthAxis brings deep industry knowledge and proven technology to support the unique needs of TPAs. Our AxisCore platform powers 65+ benefit plans, helping TPAs streamline operations, drive efficiencies, and deliver exceptional results for their clients.

Proven Expertise: Our TPA Clientele

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HealthAxis by the Numbers

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Years of Experience

$0B+

Claims Paid Annually

0M+

Claims Processed Annually

0+

Health Plans Served

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Benefits Plans Managed
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Trusted Core Administration for Peak Efficiency and Compliance

Customizable Business Rules: Tailor workflows to unique needs.

Regulatory Compliance & Reporting: Ensure adherence to key regulations.

Seamless Data Integration: Real-time connections across systems.

Network Management Flexibility: Manage & optimize provider agreements.

Efficient Claims Workflows: Streamline and auto-adjudicate processes.

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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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