Health Plan Administration Services

Advanced technology and expert services to help improve efficiency, modernize operations and accelerate market expansion.

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Health Plan Administration

Unlock Operational Agility

The operational ecosystem in which payers function is critical to overall performance, service quality, growth and future-readiness. In today’s increasingly competitive marketplace, it’s imperative to keep up with evolving technology demands and leverage expert guidance and support — to simplify and streamline workflows, enhance interoperability and foster the digital exchange of information.

Seamlessly combine technology, process and people to support a wide range of needs.

Technology to optimize your operations
A recognized leader in Healthcare Business Processes, healthcare payers have tapped into our technology solution for 40+ years to streamline their operations, manage membership and enhance agility to enable growth.

Processes to ensure compliance and simplify plan administration
Our robust library of automated processes supports efficient, compliant health plan administration. From digital conversion of inbound paper claims to claims adjudication and supporting member and provider inquiries, we help payers elevate their performance and optimize their operations.

People to support you every step of the way
The seasonality of many healthcare insurance processes, combined with regional access limitations, often create staffing challenges for health plans. Conduent’s deep industry experience and global footprint lets us easily scale staff to support a wide range of health plan operational needs, from resolving enrollment application gaps to working pended claim queues and supporting appeal and grievance processes.