Commercial & Private Health Plans

Commercial and Private Health Plans

The reality of a shifting marketplace demands solutions that are as adaptable and integrated as they are functional. That is why HealthAxis Group aims to provide a future-proof technology to our customers, thereby ensuring they retain the edge they need to stay competitive and effective. Our technology enables commercial and private health plans to remain flexible while providing quality customer service and reducing overall risk. Both highly customizable and accurate, our standard integrations are configured in a way that allows organizations to rapidly incorporate all systems.

Our solutions enable Commercial Health Plans to:

  • Build new products in a short period of time and quickly launch new lines of business in response to new market opportunities.
  • Respond to new payment reform models, including value-based reimbursements and benefits.
  • Lower administrative cost by automating key processes and workflows.
  • Enhance the quality of care and clinical outcomes, resulting in better metrics and higher reimbursements.
  • Deliver superior customer service by providing real-time, 24/7 access to critical information.
  • Ensure regulatory compliance with changing regulations.

Remove your inefficiencies and optimize your performance
through these leading-edge solutions

Core Benefit Admin System

Technological optimization meets financial efficiency in this fully integrated system that is designed to streamline benefits administration, healthcare claims processing, and overall health plan management.

Web Based Self Service Portals

Regardless as to whether you’re a provider seeking to get organized, a member searching for enrollment solutions, or a user looking to increase the efficiency of patient-centric activity, we offer a reliable web portal that meets your needs.

Smart Front End Services

From advanced mailroom services to every facet of health claims management, products and services are balanced in our Smart Front-End® service which enables you to tailor your experience to your day-to-day needs.

Post Adjudication Services

The industry may be hard to keep up with, but with our Post Adjudication Services, you can defy modern limitations to ensure efficient and cost-effective health claims processing, resulting in faster claims settlements.

Business Process Outsourcing

We want you to focus on what matters most to you, which is why we offer BPO solutions that enable us to manage your business processes through our own internally managed system and strategic partnerships.