Providers

The process of balancing risk management while meeting modern regulations and compliance standards does not have to halt or slow your management capability. HealthAxis Group 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web-delivered solution aimed at consolidating both the process and performance of any business requirement— alleviating outdated operations and cumbersome processes.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