A Third-Party Administrator’s ability to adapt to an ever-changing medical industry and marketplace may hinge upon whom they successfully partner with. HealthAxis Group aims to be just that — a consistent and reliable partner. Our end-to-end suite enhances TPAs’ abilities to provide optimal customer service through automated workflows and efficient administrative procedures. Innovative and full-service care will be easier for TPAs to achieve, and the possibility for our partners’ growth is rendered virtually limitless.
Our solutions enable Third-Party Administrators 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
- Improve service through enhanced self-service features
- Match member portals to existing company web site look and feel for a seamless integration
- Keep pace with rapidly evolving market-by-market changes within a single code base by using our sophisticated and intuitive Determinants™ Rules feature
- Achieve auto adjudication rates of up to 100%, lowering staff ratios and making claims processors and workflow more productive
- Effortlessly import and export key data sets to support interoperability and analytics
- Coordinate activities and share data among TPAs, covered members, and providers through a highly integrated platform
- Shed costly and complex IT burdens using a hosted certified solution that conforms to cyber security and cloud hosting mandates