Proven Expertise: Our TPA Clientele
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.
Key Features:
Real-Time RX/Medical Integration
- Serves Multiple Business Lines
- Indemnity Plans (Medical, Dental, Vision, Prescription)
- Medicare, PPO & POS
- FSA, HRA, HSA & Section 105
- Disability (STD/LTD)
Flexible Claims Adjudication
- Enhanced auto-adjudication through customizable business rules
Extensive Network and Fee Schedule Capabilities
- Pre-Priced / Automated Pricing / Re-Pricing Feature
- Unlimited network agreement management support
Compliance with CMS Mandates
- Ensures adherence to critical regulations, including:
- No Surprises Act Claim Handling
- Transparency In Coverage Reporting
- Continuity of Care Letter
- Ensures adherence to critical regulations, including:
Solutions Designed To Empower TPAs
Scalability & Flexibility
Utilize adaptable, interconnected, and customizable CAPS that expand in tandem with your enterprise's growth.
Complete Integration
Get full systems integration to ensure complete and efficient data transfer between systems.
Expert Assurance
Our experts coupled with BPaaS capabilities guarantee accuracy and timeliness, leading to substantial savings, unwavering compliance, and exceptional customer service.
Automate Processes
Leverage our CAPS technology to streamline operations, resulting in time and cost savings for your organization.
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See The Power of HealthAxis
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