Conduent HSP Payer Suite
A powerful, modern core administrative processing system (CAPS) that simplifies claims management for all lines of business.
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Delivering for our clients at scale
Rethink core claims administration
Is your current CAPS system ready to scale with your organization’s needs? Can it support new payment models, regulatory shifts and real-time member expectations?
Health Solutions Plus (HSP) is Conduent’s modern, modular core administrative processing system, engineered for Medicaid Managed Care, Medicare Advantage, commercial, dental, vision, TPA, Behavioral Health and Health Exchange (HIX) plans—all within a single, fully configurable platform.
With over 20 years of success supporting 25 million members, HSP provides payers and TPAs with unmatched automation, flexibility and lower total cost of ownership.
*Source: Grand View Research
Built for healthcare payers
ready to grow
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Boost automation
Achieve 85 - 95% auto-adjudication with 99% financial accuracy to reduce manual work and accelerate claims processing.
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Scale across all LOBs
Manage Medicaid, Medicare, commercial, dental, vision, and more in one unified core administration platform.
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Lower cost of ownership
Reduce reliance on third-party systems with a configurable, modular CAPS solution that grows with your business.
What Is HSP?
HSP is Conduent’s flexible core claims administration platform supporting all payer operations. With pre-configured workflows like Medicare Advantage “MA in a Box,” it combines a robust rules engine, portals, claim scrubbing and reporting. Delivered via SaaS, BPaaS or on-premise, HSP offers a seamless web-enabled experience without local installs.
Why health plans choose HSP
Automation is central to HSP, delivering auto-adjudication rates of 85 – 95% with 99% financial accuracy to minimize manual work and speed claims from intake to payment. The platform’s flexibility allows payers to configure benefits, adapt quickly to regulatory changes and deploy analytics directly into workflows—supporting growth without disruption.
Built for scale, HSP supports more than 25 million members and some of the nation’s largest plans. Real-time data access, integrated portals and intuitive dashboards empower proactive, data-driven decisions. Every client benefits from dedicated implementation and account support, with a platform roadmap recognized by Everest and Nelson Hall for performance and innovation.
A complete claims lifecycle platform
HSP streamlines the entire claims lifecycle, from capture and scrubbing to adjudication and payment distribution. It delivers strategic reporting with de-normalized data views, plus embedded event tracking, letter generation and compliance tools. The platform supports full document imaging, indexing and attachment storage to centralize critical data. With extensive APIs and a robust web service catalog, HSP integrates seamlessly into enterprise environments.
For medical, dental, vision, behavioral health and other specialties, HSP eliminates fragmented systems and enables end-to-end payer claims management in one platform.
Proven value and results
Clients using HSP experience reduced operating expenses, greater workforce productivity and improved member satisfaction. It enables organizations to modernize outdated claims management systems, scale quickly and meet the demands of ever-changing regulations.
By consolidating core functions in a single CAPS solution, HSP enhances accuracy, accelerates decision-making and helps payers stay ahead of evolving market pressures.
Featured insights
Conduent HSP Payer Suite: Commonly asked questions
What is claims management?
Claims management is the process of receiving, reviewing, adjudicating and resolving claims. It ensures accurate, efficient and compliant claim processing. Many organizations use claims management software or claims administration services to streamline workflows, reduce costs and improve accuracy through automation.
What is claims management in healthcare?
Healthcare claims management refers to the processing of medical claims submitted by providers to payers such as insurance companies, Medicaid or Medicare. Modern healthcare claims management software and health insurance claims automation tools support claims administration for all lines of business, including Medicaid Managed Care claims administration, Medicare Advantage claims administration and TPA claims administration. These systems help payers reduce errors, ensure compliance and improve member satisfaction.
What is a claims management system?
A claims management system (CMS) is specialized claims management software that automates and streamlines claims administration. In healthcare, this is often called a core administrative processing system (CAPS) or payer claims management platform. These systems centralize data, enable claims automation and support high auto-adjudication rates. They are scalable to manage millions of members across lines of business such as commercial, dental, vision and behavioral health.
How is AI used in claims management?
Artificial intelligence (AI) plays a major role in claims automation. AI-powered tools extract and analyze data from claims, accelerate adjudication, detect fraud and improve coding accuracy. In healthcare, AI supports medical claims processing services by reducing manual work and enabling real-time decision-making.
How to choose a claims management system?
When evaluating a claims management system or CAPS software, consider:
- Automation: High auto-adjudication rates with proven accuracy
- Configurability: Ability to customize benefits by line of business
- Integration: Robust APIs and member/provider portal support
- Scalability: Performance for millions of members across lines of business
- Compliance: Pre-configured workflows for Medicare, Medicaid and health exchange claims administration
- Deployment options: SaaS, BPaaS or installed solutions depending on your IT strategy
The right claims management system reduces total cost of ownership, improves processing efficiency and enhances both member and provider satisfaction.