Overview
HxOps offers extensive, flexible front and back-office administrative services with a customer-first methodology that boosts productivity, improve processes and reduce costs. Our systems are continuously enriched to meet and exceed best practices.
Our solutions are designed to enable clients to:
- Outsource non-core functions to a trusted, tech-enabled partner
- Pay health insurance claims faster, more accurately and at a lower cost
- Optimize the relationships between utilization, cost and outcomes
- Better align payers, providers and patients through improved communication
- Increase access to data and improve the speed and accuracy of data exchange
- Grow membership and improve star ratings
Key Features
- Appeals & Grievances
- Claims Administration
- Compliance Consulting
- Credentialing
- Enrollment
- Fulfillment
- Medical Management (UM/CM/DM)
- Member Services & Communications
- MRA
- Over the Counter
- Premium Billing
- Provider Maintenance
- Provider Services & Communication
- Revenue/Risk Management
- System Configuration
Key Benefits
Customizable- Customers can outsource all plan operations, or a targeted, single-line service
Cost-Effective- Teams have the ability to leverage our operational scale and technical infrastructure
Quality Service- Clients can seamlessly transition and extend your team
Media
Documents
Product/Service details
SOLUTION OR SERVICE TYPE
Billing and Payments as a Service, Business Process Outsourcing Services, Contact / Call Center Systems, Customer Onboarding Systems, Custom Software Development Services, Health Claims and Case Management Systems (Medical, LTC, Disability), Insurance Agent / Broker Portal, Managing General Agent (MGA) Administration Systems, Policy Administration and Servicing (PAS) Systems - Health / Major Medical, Predictive Analytics / Modeling, Real-Time Decision Engine (Insurance)