---
title: "Healthcare Payer Solutions"
description: "Learn how healthcare payers can lower total costs and build applications to solve business challenges with the Hyland Healthcare payer platform."
url: "https://www.hyland.com/en/solutions/industries/healthcare/payers"
lang: "en"
published: "2026-08-04T23:07:07.058Z"
---

# Healthcare Payer Solutions

## Healthcare payer solutions

Speed healthcare payer processes, support compliance requirements and boost member experience with intelligent content solutions.

[Talk to healthcare experts](/en/contact-us)

[Book a demo](/en/demos/request-demo)

## Discover Hyland’s healthcare payer solutions

Today’s healthcare payers need connected information and effective business processes to support members on their quest for positive health outcomes. Here’s how Hyland’s payer solutions can help:

### Prior authorization

**Speed response times** with AI-native document processing. Easily capture, classify and extract data for prior authorization reviews.

**Optimize processes** to adhere to the Centers for Medicare & Medicaid Services rules and avoid penalty fines.

**Effectively track and report** on compliance with prior authorization requirements.

**Reduce the risk of a PHI breach** by eliminating the manual processing of sensitive and private information.

[Explore prior authorization solutions](/en/resources/downloads/prior-authorization)

### Member experience and support

**Speed new member enrollment** by automatically routing information to the right workers and systems.

**Reduce average handle times** and minimize steps by linking your Hyland healthcare payer solutions to member records in [Salesforce](/en/platform/integrations/salesforce).

**Deliver 24/7 self-service access** to enrollment cards, explanation of benefits (EOBs), policy info and more.

**Leverage unstructured data** to support the member-360 data platform vision.

**Support health outcomes with faster, data-driven decisions** powered by a complete set of information.

### Appeals and grievances

**Simplify the collection**, storage, routing and management of appeals and grievances.

**Automatically route claims appeals and documents** to the right workers for immediate attention.

**Increase process efficiency** and meet compliance timelines.

**Easily manage requirements** for Medicare, Medicaid and commercial providers with configurable rules per the state, SLAs and mandatory or voluntary actions.

[Discover appeals and grievances solutions](/en/resources/downloads/appeals-and-grievances-overview)

### Scalable and flexible payer platform

**Empower enterprise IT** to build tailored, customized healthcare payer solutions.

**Deliver effective, personalized user experiences** with open standards and open APIs.

**Eliminate legacy ECM** systems with a future-ready infrastructure that drives resiliency, agility and efficiency.

**Innovate faster and reduce costs** with cloud-native healthcare payer solutions.

### Omnichannel communication

**Create and manage** personalized member communications for omnichannel delivery.

**Share timely messages** around enrollment, claims, health management and more.

**Combine data from multiple sources** to create the most accurate and up-to-date correspondence.

## Speed time to market and simplify IT with core system integrations

![Man working at a laptop in an office](https://site-cdn.hyland.com/www/1440x810/6767655f51/man-computer-video.webp)

By connecting Hyland with your core healthcare payer software, your organization extends the value of your technology investment to empower agility and member support.

Gain a complete view of member or provider information with Hyland’s integration with Cognizant’s TriZetto healthcare products, Salesforce and more.

[Explore Cognizant integrations](/en/platform/integrations/cognizant)

[Discover the Salesforce integration](/en/platform/integrations/salesforce)

## Healthcare payer solutions case studies

Learn how healthcare payers succeed with Hyland.

- [VNS Health](/en/customers/vnsny) — New York health plan enhances efficiency and security by automating appeals and grievances processes.
- [Priority Health](/en/customers/spectrum-health-system) — Insurer speeds app development by 77% and automates 90+ business processes and 100% of member onboarding.
- [Noridian Healthcare Solutions](/en/customers/noridian) — Healthcare organization offers better-quality service while adhering to Medicare regulations.

[View all case studies](/en/resources/resource-center?size=n_20_n&filters%5B0%5D%5Bfield%5D=content_type.keyword&filters%5B0%5D%5Bvalues%5D%5B0%5D=case_study&filters%5B0%5D%5Btype%5D=any&filters%5B0%5D%5Bpersistent%5D=false)

## Healthcare payer resources

### [Unlock the full potential of AI agents](/en/resources/analyst-reports/forrester-tlp-healthcare)

### [Unlock the opportunity of AI and automation](/en/resources/analyst-reports/signify-healthcare-ai)

### [Gain a unique payer advantage with content services](/en/resources/articles/rpa-in-healthcare)

### [Get enterprise-wide results with Hyland Healthcare](/en/resources/articles/enterprisewide-value-of-hyland-healthcare)