Payment & Reimbursement

Support connectedness and interoperability that engages, supports and removes friction for health and care providers across all aspects of their patient's care journey.

Create and deploy payment models that create opportunities for improved financial health and incentive management for benefit providers and agents of care.

Payment Rules & Methods

Establish payment programs and reimbursement rules that allow speed of onboarding for healthcare enrollment and renewal management.

Payment Mgmt & Tracking

Connect real-time care authorizations, payment estimations, and claim reimbursement requests and adjudication that support care and benefit providers with immediate responses.

Clinical Management

Engage health and care providers throughout the patient care experience through clinical management and accuracy solutions.

Payment Integrity & Shared Savings

Enable plug & play payment accuracy solutions that seamlessly support cost savings goals within the continuum of Payer medical payments programs & provider remittance commitments.