Third-Party Administrators

Adapt to the ever-changing landscape and provide optimal customer service with end-to-end third-party administrator solutions.

Solutions Designed To Empower TPAs

  • Teamwork@4x 1

    Scalability & Flexibility

    Utilize adaptable, interconnected, and customizable CAPS that expand in tandem with your enterprise's growth.

  • Laptop@4x 1

    Complete Integration

    Get full systems integration to ensure complete and efficient data transfer between systems.

  • Expert Assurance Solution

    Expert Assurance

    Our experts coupled with BPaaS capabilities guarantee accuracy and timeliness, leading to substantial savings, unwavering compliance, and exceptional customer service.

  • Automate Processes

    Automate Processes

    Leverage our CAPS technology to streamline operations, resulting in time and cost savings for your organization.

TPA - third-party administrators

Efficiency, Integration, and Growth for TPAs

A third-party administrator's ability to adapt to an ever-changing healthcare landscape and marketplace may hinge upon whom they successfully partner with. HealthAxis 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 third-party administrators to achieve, and the possibility for our partners’ growth is rendered virtually limitless.

Single Code-Based System: 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

Self-Service Features: Improve service through enhanced self-service features

Determinants Rules Feature: Keep pace with rapidly evolving market-by-market changes within a single code base by using our sophisticated and intuitive Determinants Rules feature

Automate claims processing to lower staff ratios and make claims processors and workflow more productive.

Data: Effortlessly import and export key data sets to support interoperability and analytics

Seamless Integration: Coordinate activities and share data among TPAs, covered members, and providers through a highly integrated platform

Flexible Cloud Hosting: Shed costly and complex IT burdens using a hosted certified solution that conforms to cyber security and cloud hosting mandates

Automated Workflows: Automate high-volume workflows in claims processing and utilization management

Compliance: Protect and secure all healthcare information under the HIPAA Privacy Legislation requirements

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