Digital Transformation Solutions

With the MLR mandate, it’s more critical than ever for health plans to increase the quality of administrative functions while lowering costs.

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Conduent provides the full spectrum of healthcare transaction processing services. Recognizing that these functions are essential for businesses to succeed but are also serious drain on resources, we can assume the day-to-day tasks to help streamline operations and allow our clients to focus on their core business and achieve profitable growth.

We have over three decades of experience in healthcare transaction processing. We utilize onshore, near-shore, and offshore processing centers around the world to offer round-the-clock, end-to-end service delivery. By combining of a number of discrete services, Conduent can manage the entire content lifecycle and automate manual processes for improving access to, and the quality of, critical information. Our healthcare transactional services include:

  • Front-end
  • Image and data capture
  • Post processing
  • Payment services
  • Document and transaction content management

We provide end-to-end solutions for all operational towers including:

  • Claims processing
  • Membership and billing
  • Provider maintenance
  • Eligibility

The benefits of using our healthcare transactional services:

  • Improve data quality
  • Increase auto-adjudication rates
  • Fully compliant with HIPAA and other healthcare regulations
  • Accelerate turnaround time (TAT)
  • Enhance your bottom line

Combine our extensive domain knowledge, business rules engines and world-class operating model, and your health plan can achieve tangible results.