Services
Healthcare BPO
Improving patient outcomes
We deliver intelligent health operations that improve patient outcomes, keep costs under control and increase consumer and provider engagement.
Our healthcare BPO services
Provider Services
We enhance consumer and provider engagement while driving better health outcomes through prior authorization intake, clinical claim review, and appeals support.
Utilization Management
We facilitate seamless consumer and provider engagement, ensuring better health outcomes through a comprehensive suite of services, including prior authorization intake, clinical claim review, and appeals support. By streamlining these critical processes, we help reduce administrative burdens, improve decision-making efficiency, and enhance compliance with healthcare regulations—ultimately leading to a more efficient and effective healthcare system.
Population Health Service
We provide a comprehensive range of services designed to enhance patient care and healthcare efficiency. Our offerings include health risk assessments, proactive outreach, program enrollment and referrals, patient support services, and care coordination quality reviews. By integrating these solutions, we help healthcare organizations improve patient engagement, streamline administrative processes, and ensure high-quality care delivery while maintaining compliance and operational efficiency.
Membership Services
Our member and provider outreach services enhance patient outcomes by delivering targeted education and support to bridge gaps in care. Through proactive engagement and medical record services, we help ensure timely interventions, improve adherence to treatment plans, and facilitate better coordination between healthcare providers and patients—ultimately leading to higher quality care and improved health outcomes.
Claim Services
Our global claims professionals have partnered with 18 clients, leveraging industry expertise and advanced process optimization to drive over $3 billion in administrative and medical cost savings. Through efficient claims management, data-driven decision-making, and streamlined workflows, we help organizations reduce costs, improve accuracy, and enhance overall operational efficiency.
Care Value
Our member and provider outreach services enhance patient outcomes by delivering targeted education and support to bridge gaps in care. Through proactive engagement and medical record services, we help ensure timely interventions, improve adherence to treatment plans, and facilitate better coordination between healthcare providers and patients—ultimately leading to higher quality care and improved health outcomes.