
Risk Bearing Provider Organizations
The process of balancing risk management while meeting modern regulations and compliance standards does not have to halt or slow your management capability. HealthAxis offers a web-delivered solution aimed at consolidating both the process and performance of any business requirement— alleviating outdated operations and cumbersome processes. Our RBPO solution is not only customer-driven but is highly scalable and delivered on a per member per month basis.
Provider Services Include:
ACOs, IPAs, CINs, IDNs, Medical Providers
Our solutions enable Risk Bearing Provider organizations to:

- 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
- Achieve turnkey integration among Claim Adjudication, Enrollment Portal, Broker Portal, Member Portal and Care Manager
- Review eligibility in real time through the Health Plan Enrollment Portal
- Customize dashboards to manage daily task through workflow queue for claims, authorization and other departments
- Satisfy the requirements for full delegation of financial risk
- Manage and reconcile capitation and eligibility
- Improve care planning and disease management
- Easily configure complicated benefit plan, DOFR and fee schedules.
- Resolve provider appeals and disputes
- Scale services to any population size
- Obtain seamless connectivity through our business partner for DRG/ARP DRG
- Automate critical patient follow-up for appointment reminders, assessments, and other interventions
- Alleviated the need to have additional onsite equipment and personnel management systems
- Rapidly setup and configure systems with limited involvement from your IT resources
- Increase automated claims payments
- Comply with Meaningful Use requirements
- Create comprehensive ad-hoc reporting
- Effectively manage delegated risk