Core Benefit Administration System

SYSTEM FAQ’S

Claims Administration

Unified Solution

Eligibility & Enrollment

Health Services

CLAIMS ADMINISTRATION & HEALTHCARE CLAIMS PROCESSING

HealthAxis Group’s Core Benefit Administration system offers a mature complement of SaaS based healthcare benefits software solutions for benefits administration and healthcare claims processing. The system includes benefits enrollment, member management, billing, claims workflow, auto-adjudication, and consumer-driven health plans. Our Core Benefit Administration system allows access to technology with low ongoing costs and efficient benefit plan administration.

ADMINISTRATION SYSTEM CAPABILITIES

Our system is fully capable of administering all types of health plans including commercial insurance, Medicare, Medicaid, self-funded (TPA or first party payer) plans, IPA’s, and ACO’s. It is also fully integrated with our Smart Front-End® system capability and our web portals allowing for the complete integration of member management and claims processing from claims receipt to claims payment.
HealthAxis Group’s Core Benefit Administration System is a next generation claims and benefits administration solution designed to help payers of all types and sizes quickly and efficiently address the ever-changing business imperatives of today’s healthcare economy.

KEY FEATURES & BENEFITS

CONFIGURATION

Complex benefit plan configuration and reimbursement methodologies.

INTEGRATION

Integrated medical claims editing and code bundling. Integrated document management and BPO services are also available.

COMPREHENSIVE

Comprehensive provider management option, benefit plan, DOFR and fee schedule configuration options.

EXTENSIVE

Extensive provider database management administration.

HEALTHAXIS CLAIMS SYSTEM IS INCREDIBLY POWERFUL

HIGH AUTO ADJUDICATION RATES
FLEXIBLE & RULES-BASED
MANAGES CONSUMER DRIVEN HEALTH PLANS
BENEFIT PLAN CONFIGURATION
SECURE DATA STORAGE
REAL-TIME CLAIMS WORKFLOW ENGINE

REQUEST A DEMO

Interested in what HealthAxis Group can do for you? Request a demo to see our solutions in action.

HealthAxis Solutions Platform