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

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HealthAxis Group’s System is integrated with our Front-End systems capability and web portals, allowing for the complete integration of member management and claims processing from claims receipt to claims payment.

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HealthAxis Group’s Solutions Platform is web-delivered, incorporating full functionality for all business requirements of any Managed Care Organization, Health Plans, Medicare Advantage Plans, ACO, TPA, MSO, IPA and FQHC.


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 state-of-the-art system currently supports 5 Star Health Plans. We help organizations remain HIPAA and CMS compliant, while achieving the highest HEDIS/STAR ratings for quality care.
With HealthAxis’ Solutions Platform, Medicare customers achieve greater levels of operational efficiency and reduced operating costs. With our latest-generation technology, Medicare and Medicare Advantage Organizations can deliver enhanced efficiencies, customer service and compliant, high-quality care.
HealthAxis understands and offers a complete healthcare technology solution for all types of Medicare and Medicare Advantage Organizations, including, but not limited to:
  • Health Maintenance Organization (HMO) Plans
  • Preferred Provider Organization (PPO) Plans
  • Private Fee-for-Service (PFFS) Plans
  • Special Needs Plans (SNPs)
  • HMO Point of Service (HMOPOS) Plans
  • Medical Savings Account (MSA) Plans
  • Private Fee-for-Service (PFFS) Plans


  • Enroll and reconcile members accurately and easily.
  • Automatically verify data upon CMS response (through Connect:Direct capability).
  • Receive the highest HEDIS/STAR ratings for high caliber care and clinical outcomes.
  • Achieve and maintain compliance with new government regulations.
  • Track and report on critical quality and compliance measures.
  • Deliver transparency of information for superior customer experience.
  • Lower administrative costs significantly by automating workflows.
  • Leverage key data sources with seamless integration.


Managed Care Organizations (MCOs) 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 continuously changing state regulations. HealthAxis understands these challenges, and helps Medicaid Managed Care Organizations achieve maximum efficiency while remaining compliant with each state’s specific 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.


  • Enroll and reconcile members accurately.
  • Reduce administrative costs by automating key business processes.
  • Identify and allocate care to high-risk populations and members.
  • Maintain regulatory compliance with each state’s rules.
  • Deliver superior customer service resulting in increased member engagement.
  • Coordinate individuals’ healthcare and support services effectively.


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

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