ENTERPRISE SOLUTIONS

End-to-end integration for maximum realized value.

Our enterprise solution suite enables you to manage and reduce total cost of ownership across multiple lines of business on a single integrated platform. This comprehensive, end-to-end solution automates all key processes in the payer business cycle—from marketing and sales through claims administration and customer service to care and quality management.

You choose the appropriate modules to address the unique needs of your commercial, Medicare, Medicaid, and/or ACO business lines, confident that they will be a seamless system—without additional integration, cost, or complexity.

Whichever you choose, you’ll get an unbeatable combination of vision, innovation, and passion for customer service. So you can count on simpler implementation, streamlined updates, and comprehensive maintenance.

Commercial

Solutions that automate and integrate business processes for your new or legacy commercial lines of business (including health insurance exchanges)—and reduce errors to lower administrative costs.

Medicare

Solutions that help you manage risk, address complex regulatory requirements, and closely align with Medicare beneficiaries at all points on the continuum by providing the efficient, compliant process support essential for success in the Medicare market.

Medicaid

Solutions that enable you to improve cost efficiency by implementing effective medical and drug utilization controls, measuring quality proactively, and promoting health through collaborative care management programs.

ACO

Solutions that support ACO operation or participation by empowering you to more closely collaborate with physicians on improving health outcomes and to transform payment systems with multiple risk-bearing capabilities.