To navigate the challenging new healthcare landscape, consider calling in a trusted partner to the top health plans in the industry. You can rely on our:
- Understanding of the market
- Clinical and consultative expertise
- Deep experience resolving administrative challenges
- Ability to improve your Medicare Star Rating
- Solid customer care engagement models for prevention and wellness programs
Conduent Recognized as a Leader in Two Everest Group Healthcare Reports
Analyst firm Everest Group positioned Conduent as a leader – its highest designation – in both their “Healthcare Payer BPO – Service Provider Landscape with PEAK Matrix™ Assessment 2016” and “Contact Center Outsourcing (CCO) Market for Healthcare Industry – Service Provider Landscape with PEAK Matrix™ Assessment 2017” reports. Read the Insight to learn more and download copies of the reports.
We’re a leading provider of health plan administration and customer care services. Our 10,000+ dedicated Payer agents provide services that include:
- Benefits Explanation and Verification
- Claim Status
- Complaints and Appeals
- Disease Management Programs
- Eligibility Verification
- Enrollment Processing Services
- Health and Wellness Programs
- Licensed agent customer care services
- Missing/Invalid Information Research
- Payment and Benefits Explanation
- PCP Change
- Product/Services Information
- Referral Requests and Status
- Satisfaction Surveys
- Welcome Calls
We’re also a leading-edge provider of intelligent automation technology services, including:
- Virtual Assistant – Automated voice assistance which recognizes complex, contextual, and abstract vocal inquiries
- Machine Learning – Cognitive learning platform that analyses data to develop the intelligence it needs to understand, diagnose, and solve problems in real-time
- Interactive Voice Response (IVR)
- State-of-the-Art Computer Telephony Interface (CTI)
- Customer Relationship Management (CRM)
- Advanced Switch/Multiple Platform Integration Solutions