Healthcare Management and Technology Solutions Healthcare Payer A BPaaS Solution for Health Plan Administration Advance your capabilities and performance Connect with an expert Connect with an expert Thank you! Ignite your operations and improve outcomes As a health plan, your operations ecosystem is intricately linked to your day-to-day performance, impacting your member and provider experiences, workflows and bottom line. Your operational performance drives outcomes across key areas pivotal to improving your plan’s success: Member engagement Member health Accurate provider data Workflow / process efficiency End-to-end support Claims Intake and Automation Our AI and ML technologies capture, classify, extract and disseminate paper and digital documents for leading-edge claims management capabilities. Learn more Member Enrollment Tap into our suite of solutions to streamline your application process, enroll members faster and enhance underwriting — all while reducing costs. Learn more Claims Administration With modular architecture and user-defined rules, our HSP Core Administration platform automates and optimizes the claims lifecycle. Learn more Payment Integrity Combining multiple data sources, proprietary technology and experience, we help our clients identify and recover overpayments. Learn more Care Coordination Improve care quality and control medical costs with our member care coordination team providing support and guidance on your members’ healthcare journey. Learn more Provider Data Management Automate validation, streamline workflows and enhance provider engagement with live support from a centralized center of excellence. Learn more Member Services: Contact Center Human-centric contact centers coupling the right talent with omnichannel platforms for 5-star Medicare and HEDIS ratings. Learn more Member/Provider Engagement: Print and Fulfillment Award-winning solutions to drive engagement and deliver timely ID cards, welcome kits, accurate EOBs, provider checks and more. Learn more Industry recognitions Conduent name a leader in Everest Healthcare Payer Operations PEAK Matrix Assessment 2023 Read the report Conduent named a 2024 Leader in Healthcare Payer Operations Transformation by NelsonHall Read the report Conduent named a leader in Everest Group PEAK Assessment of Healthcare CXM Service Providers Read the report Conduent Named a Rising Star in 2021 ISG Provider Lens™ Healthcare Digital Services Report Read the report
Claims Intake and Automation Our AI and ML technologies capture, classify, extract and disseminate paper and digital documents for leading-edge claims management capabilities. Learn more
Member Enrollment Tap into our suite of solutions to streamline your application process, enroll members faster and enhance underwriting — all while reducing costs. Learn more
Claims Administration With modular architecture and user-defined rules, our HSP Core Administration platform automates and optimizes the claims lifecycle. Learn more
Payment Integrity Combining multiple data sources, proprietary technology and experience, we help our clients identify and recover overpayments. Learn more
Care Coordination Improve care quality and control medical costs with our member care coordination team providing support and guidance on your members’ healthcare journey. Learn more
Provider Data Management Automate validation, streamline workflows and enhance provider engagement with live support from a centralized center of excellence. Learn more
Member Services: Contact Center Human-centric contact centers coupling the right talent with omnichannel platforms for 5-star Medicare and HEDIS ratings. Learn more
Member/Provider Engagement: Print and Fulfillment Award-winning solutions to drive engagement and deliver timely ID cards, welcome kits, accurate EOBs, provider checks and more. Learn more
Conduent name a leader in Everest Healthcare Payer Operations PEAK Matrix Assessment 2023 Read the report
Conduent named a 2024 Leader in Healthcare Payer Operations Transformation by NelsonHall Read the report
Conduent named a leader in Everest Group PEAK Assessment of Healthcare CXM Service Providers Read the report
Conduent Named a Rising Star in 2021 ISG Provider Lens™ Healthcare Digital Services Report Read the report