Today, payers are facing disruptive changes from both the public and private sectors. Consumerism has managed to touch the health insurance industry and in this new consumerism-driven world, health insurance must undergo a rapid shift to meet consumer expectations and deliver on B2C levels of customer satisfaction.

This segment of the healthcare sector is undergoing a tremendous change in the process of addressing reforms and regulations. In addition to the regular services like providing benefits, eligibility and enrollment, claims management, underwriting, and so on, businesses are moving towards transformation through a modernization of their legacy systems – population health management, analytics, mobile, social media solutions and cloud-based solutions – to better outcomes and services, sustain growth, and be competitive.

Over the years, we have helped many leading players in this industry address their outsourcing concerns.

Our domain services

  • Benefits management
    • Eligibility and enrollment
    • Benefits configuration and validation
    • Flexible spending accounts
    • COBRA
    • Healthcare coverage management
    • Market places / private exchanges
  • Claims management
    • Claims processing
    • Claims adjudication
    • Claims sampling and auditing
    • Claim analytics
    • Medical bill review
  • Absence management
    • FMLA administration
  • Billing and collection
    • Electronic Invoice Presentment and Payment
    • Inbound and outbound feeds monitoring
  • Product consulting and implementation
  • Consumer self-service portals
  • Transformation services
    • Enterprise mobility
    • Population health management
    • Predictive analytics
    • Social media analytics
  • Regulatory services
    • HIPAA compliance
    • Security
    • ICD9 – ICD 10
    • Health insurance exchanges enablement
  • ACOs
    • Data integration between payers and providers
    • Data aggregation