We offer healthcare payer and health plan services that help reduce costs, streamline processes, and improve member and provider communication.
SOFTWARE & TOOLS
We offer a full suite of software to help you automate processes, increase administrative efficiencies, handle multiple lines of business across markets, and support connectivity between members, providers, and trading partners.
Members utilize online provider directories to select participating providers, however data inaccuracies inherent in provider data has led to increased consumer frustration. As a result, state and federal regulators have recently updated their guidance and introduced penalties for non-compliant directories, thereby forcing health plans to rethink how they manage provider data. Core xRM offers provider data verification as a BPO service to health plans and payers.
We offer a comprehensive portfolio of IT and system integration services including: