Products To Manage
The Complete Lifecycle Of Healthcare Insurance.
A comprehensive suite of products designed to support various business capabilities for Health Plans and TPAs. Each product is built to be highly impactful on its own, while also forming a powerful ecosystem that can be bundled according to specific business needs. These products are developed on top of a robust set of APIs, allowing for seamless integration into an existing Health Plan or TPA technology ecosystem. They can be used to enhance or complement proprietary client products
Covers The Entire Spectrum Of Healthcare Products And Datatypes
Comprehensive Solutions
For Every Healthcare Insurance Need
By leveraging our deep industry knowledge and purpose-driven vision, we have built a rich suite of products to meet the multifaceted business needs of a healthcare enterprise.
A Compliant, Private, and Secure AI Assistant designed specifically for healthcare.
The Copilot offers effortless self-service for your consumers, operational assistance for internal teams, and a plethora of core AI capabilities that can elevate the user experience across any offering.
Explore For :
- Consumer Self Service
- Agent Self Service
AI Enabled, web & mobile self-service portals designed to elevate consumer experience & drive better health outcomes.
Designed to simplify and accelerate access to care. This suite brings all actions and information to the fingertips of the user.
Self Service Portals For :
- Members
- Brokers
- Employers
- Providers
An AI Enabled one stop platform for your internal teams to manage the complete lifecycle of healthcare operations.
Utilized by internal teams to deliver a connected service experience with ease and speed.
- Manage Sales
- Manage Onboarding
- Run Contact Center Operations
- Service Your Consumers
- Automate Business Processes & Manage Workflows
- Manage Renewals
A Healthcare Data Connectivity Platform
A robust, enterprise-grade data connectivity platform designed to address the end-to-end data integration and interoperability needs of healthcare enterprises. It provides a seamless, real- time data ecosystem, ensuring consistent, accurate, and accessible healthcare data across internal systems, external partners, and regulatory bodies.
- Data Synchronization & Orchestration
- Real-time Operational Insights
- A Comprehensive Healthcare API Suite
Features, Built to Keep you Ahead
While each product is designed to address a unique business need, Our fully white-labeled products offer seamless integration into your existing ecosystem, guaranteeing both ease of use and robust security.
Supports an Extensive Range of Healthcare Insurance Products
Optimize operations across diverse product lines, whether you're managing traditional health plans, pharmacy benefits, dental, vision, specialty care or any other product type our platform adapts to your needs.
Health & Wellness Insurance
- Health Insurance
- Dental & Vision Insurance
- Critical Illness Insurance
- Accident Insurance
- Hospital Indemnity Insurance
- Long-Term Care Insurance
- Mental Health Insurance
Supplemental & Voluntary Insurance
- Hospital Indemnity Insurance
- Travel Insurance
- Pet Insurance
- Cancer Insurance
- Accidental Injury Coverage
- Long-Term Care Insurance
- Income Protection Plans
Life Insurance
- Term Life Insurance
- Whole Life Insurance
- Universal Life Insurance
- Variable Life Insurance
- Final Expense Insurance
- Accidental Death & Dismemberment (AD&D) Insurance
Disability Insurance
- Short-Term Disability Insurance
- Long-Term Disability Insurance
- Accidental Death & Dismemberment Insurance (AD&D)
- Group Life Insurance
Cafeteria Plans
- Health Savings Account (HSA) Contributions
- Health Reimbursement Account (HRA) Contributions
- Flexible Spending Account (FSA) Contributions
- Dependent Care Flexible Spending Account (DCFSA
Specialty & Niche Products
- Legal Insurance
- Identity Theft Protection Insurance
Built in Knowledge Of All Healthcare Data Types
Leverage a robust, out-of-the-box solution for effortless handling of all data types. With the in-built industry context, you can empower your teams to simplify and accelerate integration across multiple systems.
Members, Dependents And Coverage
- Core Membership & Enrollment
- Eligibility Validation
- Plan Assignments
- Accumulators
- Dependent Relationships
- Demographic Information
Plans And Benefits
- Plan Structures
- Benefit Tiers
- Service Coverages
- Deductibles
- Out-of-pocket Limits
Claims And Payments
- Initial Claims
- Adjudicated Claims
- Payments & Pricing Rules
Prior Authorization And Referrals
- Pre Authorization Workflows
- Referral Tracking
- Medical Necessity Determinations
Providers, Networks And Contracts
- Provider Directories
- Contract Terms
- Network Affiliations
Invoices, Payments And Billing
- Member Billing
- Employer Group Invoicing,
- Financial Reconciliations
Pharmacy And Prescription
- Drug Formulary
- NDC Codes
- Prescription Claims
- Pharmacy Benefit Integration
Commissions, Brokers And Agents
- Commission Structures
- Broker Assignments
- Agency & Agent Data