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Optimize Your TPA Operations: CAPS Technology for Peak Efficiency & Compliance

Transform your TPA with a core administrative platform built to meet the dynamic demands of healthcare management:

Scalability & Flexibility

Complete Integration

Expert Assurance

Automate Processes

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AxisCore™: Trusted CAPS Technology for Superior TPA Management

Crafted specifically for sophisticated healthcare administration tasks, our proprietary CAPS platform AxisCore<sup>™</sup> aligns precisely with your TPA goals, offering customized solutions that drive peak efficiency and ensure compliance with industry regulations.

Key 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

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HealthAxis

Proven Expertise: Our TPA Clientele

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HealthAxis by the Numbers

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Years of Experience

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Claims Paid Annually

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Claims Processed Annually

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Health Plans Served

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Benefits Plans Managed

Solutions Designed To Empower TPAs

  • Teamwork@4x

    Scalability & Flexibility

    Utilize adaptable, interconnected, and customizable CAPS that expand in tandem with your enterprise's growth.

  • Laptop@4x

    Complete Integration

    Get full systems integration to ensure complete and efficient data transfer between systems.

  • Expert Assurance Solution

    Expert Assurance

    Our experts, coupled with BPaaS/BPO capabilities, guarantee accuracy and timeliness, leading to substantial savings, unwavering compliance, and exceptional customer service.

  • Rocket@4x

    Automate Processes

    Leverage our CAPS technology to streamline operations, resulting in time and cost savings for your organization.

Efficiency, Integration, and Growth for TPAs

A third-party administrator's ability to adapt to an ever-changing healthcare landscape and marketplace may hinge upon whom they successfully partner with. HealthAxis aims to be just that — a consistent and reliable partner.

Our end-to-end suite enhances TPAs’ abilities to provide optimal customer service through automated workflows and efficient administrative procedures. Innovative and full-service care will be easier for third-party administrators to achieve, and the possibility for our partners’ growth is rendered virtually limitless.

Single Code-Based System

Self-Service Features

Determinants™ Rules Feature

Automated Workflows

Seamless Integration

Flexible Cloud Hosting

Compliant

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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