Risk-Bearing Providers

Seamlessly review eligibility and configure complicated benefit plans with solutions built to support risk-bearing providers.

Solutions To Bolster Risk-Bearing Providers

  • Teamwork@4x 1

    Scalability & Flexibility

    Expand services to accommodate any population scale and effortlessly set up systems with minimal reliance on your IT personnel.

  • Laptop@4x 1

    Reduce Costs

    Cut down on administrative and IT costs by utilizing our user-friendly CAPS technology and BPaaS capabilities.

  • Expert Assurance Solution

    Enhance Collaboration

    Elevate patient and health plan communication through instant portals and enhance internal collaboration.

  • Automate Processes

    Automate Processes

    Automate critical patient processes to ensure care is seamless and reduce the burden on staff.

risk-bearing providers

Streamline Operations for Informed Clinical Decisions

The process of balancing risk management while meeting modern regulations and compliance standards does not have to halt or slow your management capability.

At HealthAxis, we understand the intricate dynamics of a core administrative processing system (CAPS) and have a profound knowledge of working within a provider environment. Our dedicated team of experts, along with our cutting-edge CAPS technology AxisCore™ and versatile BPaaS capabilities AxisConnect™, are here to empower you every step of the way.

Single Code-Based System: Manage multiple markets and lines of business with vastly different rules or requirements within a single code-based system alleviating the need for employees to log into multiple systems and serve multiple clients

Seamless Integration: Achieve turnkey integration among claim adjudication, enrollment portal, and provider portal

Health Plan Enrollment Portal: Review eligibility in real-time

Easy-to-Use Dashboards: Customize dashboards to manage daily tasks through workflow queues for claims, authorization, and other departments

Reduce Financial Risk: Satisfy the requirements for full delegation of financial risk

Manage Eligibility: Manage and reconcile capitation and eligibility

Enhance Care: Improve care planning and disease management

Enhanced Configuration: Easily configure complicated benefit plans, DOFR, and fee schedules.

Address Appeals: Resolve provider appeals and disputes

Scalability: Scale services to any population size

DRG/ARP DRG Partners: Obtain seamless connectivity through our business partner for DRG/ARP DRG

All-In-One Systems: Alleviate the need to have additional onsite equipment and personnel management systems

Simplified System Setup: Rapidly set up and configure systems with limited involvement from your IT resources

Automated Claims: Increase automated claims payments

Improve Compliance: Comply with Meaningful Use requirements

Reporting Tools: Create comprehensive ad-hoc reporting

Diminish Delegated Risk: Effectively manage delegated risk

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See The Power of HealthAxis

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