INTEROPERABILITY

In an ever-changing marketplace, the need for interoperability and performance-based delivery of care is paramount. HealthAxis Group’s Solutions Platform is web-delivered, incorporating full functionality for all business requirements of all types of Healthcare Organizations.

BETTER TECHNOLOGY

The HealthAxis Core Benefit Admin System includes benefits enrollment, member management, billing, claims workflow, auto-adjudication, and consumer-driven health plans, allowing access to technology with low ongoing costs and efficient benefit plan administration.

INTEGRATION

Our system is fully integrated with our Front-End systems capability and our web portals, allowing for the complete integration of member management and claims processing from claims receipt to claims payment.

MEDICARE SOLUTIONS

Health Plans serving Medicare members aim to provide a high level of quality care, while remaining compliant with government regulations. HealthAxis understands these challenges and helps Medicare and Medicare Advantage businesses remain competitive in an ever-changing marketplace. Our Solutions Platform currently supports 5 Star plans and helps organizations receive the highest HEDIS/STAR ratings for high caliber care.
With our latest-generation technology, Medicare customers can deliver enhanced customer service along with compliant, high-quality care.
Medicare Solutions

OUR SOLUTIONS ENABLE MEDICARE CLIENTS TO:

  • Achieve and maintain compliance with new government and state regulations, as well as CMS, HITECH and HIPAA regulations
  • Maintain CMS System Compliance in data transfer and reporting
  • Automatically verify data using CMS Direct:Connect
  • Manage Capitation effectively and efficiently
  • Enroll and reconcile members accurately and easily
  • Deliver transparency of information for superior customer experience

PAYER SOLUTIONS

Our state-of-the-art system currently supports 5 Star Health Plans. We help organizations remain HIPAA and CMS compliant, while maintaining the quality measures required by HEDIS.

Payer Solutions include benefits administration platforms, web portals, network & application management, consulting, Business Process Outsourcing, and transaction services.

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MEDICAID SOLUTIONS

Health Plans serving Medicaid members must strive to provide high quality care, remain efficient, and keep administrative costs low, while at the same time ensuring compliance with state regulations that are continuously changing, and vary from state to state. HealthAxis understands these challenges, and helps Medicaid businesses achieve maximum efficiency while remaining compliant with each state’s specific regulations, as well as HIPAA, HITECH and CMS regulations. 
With our Solutions platform, Medicaid customers have access to the latest generation technology and can deliver enhanced levels of transparency and customer service to their members.
Medicaid Solutions

OUR SOLUTIONS ENABLE MEDICAID CLIENTS TO:

  • Achieve and maintain compliance with applicable state’s rules and regulations
  • Enroll and reconcile members accurately
  • Reduce administrative costs by automating key business processes
  • Population Health Management: Identify and allocate care to high-risk populations and members
  • Deliver superior customer service resulting in increased member engagement

THE HEALTHAXIS 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