Third-Party Administrators

Streamline claims processing, optimize network management, and ensure compliance with a flexible core administration platform designed to support TPAs across multiple business lines.

Solutions Designed To Empower TPAs

  • Teamwork@4x 1

    Scalability & Flexibility

    Leverage adaptable, interconnected solutions that grow alongside your business, ensuring seamless expansion and operational efficiency.

  • Laptop@4x 1

    Complete Integration

    Achieve full system interoperability with seamless data exchange, improving accuracy, efficiency, and workflow automation.

  • Expert Assurance Solution

    Expert Assurance

    With industry expertise coupled with BPaaS capabilities, we ensure accuracy, compliance, and cost savings while delivering exceptional service.

  • Automate Processes

    Proven Legacy

    For nearly 60 years, we’ve helped TPAs navigate industry shifts with innovative solutions that drive efficiency, compliance, and sustained success.

HealthAxis

Efficiency, Integration, and Growth for TPAs

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

  • Designed for Multi-Line Administration

    AxisCore™ is built to support a wide range of business lines, ensuring your TPA can administer:

Medical, Dental, Vision, and RX Plans

Medicare, PPO, POS, and Indemnity Plans

Flexible Benefits (FSA, HRA, HSA, Section 105)

Short- and Long-Term Disability

  • Key Capabilities for TPA Success

Intelligent Claims Adjudication – Advanced auto-adjudication with configurable business rules.

Integrated Network & Fee Schedule Management – Supports pre-priced, automated, and re-pricing models.

Seamless RX & Medical Data Exchange – Real-time integration for comprehensive benefit coordination.

Regulatory Compliance Built-In – Alignment with CMS mandates, including No Surprises Act Claim Handling, Transparency in Coverage Reporting, and Continuity of Care Requirements.

Proven Expertise: Our TPA Clientele

Schedule a Discovery Call

See The Power of HealthAxis

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