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.
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Complete Integration
Get full systems integration to ensure complete and efficient data transfer between systems.
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Expert Assurance
Our experts coupled with BPaaS capabilities guarantee accuracy and timeliness, leading to substantial savings, unwavering compliance, and exceptional customer service.
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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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