Healthcare payer solutions

Increase capacity, improve customer relations and ensure compliance with Hyland Healthcare

Whether part of a provider-sponsored health plan or an independent healthcare payer organization, health insurers’ goals are the same: Drive increased capacity, streamline processes, increase internal controls and audit assistance, and improve customer service – all while reducing operational costs.

Paper-based, manual processes won’t get you there.

How to manage healthcare payer content electronically and automate processes

OnBase solutions for healthcare payers were developed specifically for the challenges health insurers face. Our expertise includes Fiscal Intermediaries for Medicare/Medicaid, commercial insurers, third-party administrators as well as Managed Service Organizations. We understand Health Benefit Plans and Health Administrative systems and are experienced in meeting industry-specific challenges, including security and compliance. With OnBase healthcare payer solutions, you'll:

  • Manage digital content, including scanned documents, faxes, print streams, application files, electronic forms, web content, multi-media files, emails and industry standard files such as 835 & 837, CMS1500 and UB04
  • Automate healthcare payer business processes and reduce the time and cost of performing important business functions to improve organizational efficiency
  • Address the need for regulatory compliance through the management, control and sharing of digital content with employees, business partners, customers and other constituencies
Appeals and Grievances

Streamline healthcare appeals and grievance tasks with automation and case management tools to easily manage volume, prioritize workloads and improve response time.

Credentialing

Manage the physician credentialing process more effectively and with a higher degree of accuracy by automating tasks with OnBase.

Content Connect

Healthcare payer and providers alike improve communication, speed processes and cut costs with Content Connect.

Medical Claims Processing

OnBase solutions for medical claim processing integrate with core claims applications to eliminate manual data entry for faster, more accurate medical claims management

Mobile Medicare Enrollment

Streamline Medicare registration with OnBase to reduce compliance risks, increase accuracy and speed

Open Enrollment Solution

OnBase allows health insurers to capture information onsite to instantly enter applications into an underwriting workflow

Provider Relations

Improve processes and deliver exceptional provider relations with OnBase

OnBase Integration for Cognizant

Integrate OnBase with Cognizant applications. This simple configuration improves payer decisions and accelerates claims resolutions.