医疗保健支付方

灵活、敏捷和快速应变的解决方案能够提高医疗保健支付方的盈利能力

 

医疗保健客户正逐渐向多渠道和多维度方向发展。客户希望通过电话、短信、电子邮件、网络和社交媒体,与自己的医疗保险公司开展无缝实时互动。为了满足这些新的客户需求,支付方必须重塑自身,变得更加灵活和敏捷,能够快速应变,同时保持或提升盈利能力。我们的医疗保险服务能力涵盖整个领域,从IT解决方案和传统业务流程外包,到全套第三方管理服务和高级医疗保健咨询服务,全部囊括在内。我们拥有实施和支持主要供应商服务包的经验,例如ALIP、Ingenium、Claims Component、Dragon、PolicyStar、Claims WorkStation、FAB、TIA、TriZetto Facets、COMPASS、GroupFacts、ClaimFacts和Amarta。从索赔管理到佣金和补偿处理、分销服务,再到产品性能监控,凯捷为整个医疗保健价值链上的医疗保健支付方提供帮助。凯捷的客户包括商业支付方;Medicare Advantage、Medicare Prescription Drug和Medicare Supplement支付方;医疗责任组织;提供方;零售和批发药店;清算所。

A5STAR Services & Visualization Tool

A5STAR Services & Visualization Tool

Our service offering and proprietary visualization tool for advanced analytics help you...

Automated Medical Claims Processing

Automated Medical Claims Processing

Reduce operating and administrative costs with an automated medical claims processing...

HIPAA 5010 and ICD-10 Conversion

HIPAA 5010 and ICD-10 Conversion

From the initial assessment phase through implementation and beyond, Capgemini can help with...

Medicare Advantage

Medicare Advantage

With a deep understanding of HMO, FFS, PPO and POS plans, Capgemini helps payers reduce...

Medicare Supplement Insurance

Medicare Supplement Insurance

We process over six million Medicare Supplement claims a year through our integrated suite of...

健康保险全服务管理

健康保险全服务管理

凯捷凭借强大可靠的平台和在50个州的营业执照,帮助健康保险运营商从固定成本模式转变为灵活成本模式...