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Submitted URL: http://www.hspweb.com/
Effective URL: https://www.conduent.com/claims-and-administration/health-plan-administration/
Submission: On October 11 via manual from GB — Scanned from GB
Effective URL: https://www.conduent.com/claims-and-administration/health-plan-administration/
Submission: On October 11 via manual from GB — Scanned from GB
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Show Search Input Hide Search Input backgroundLayer 1 Home Toggle Main Menu Home Country Selector North America * United States (English) Europe * France (French) * Germany (German) * Italy (Italian) * Netherlands (Dutch) * United Kingdom (English) Asia / Pacific * Australia (English) * Commercial Solutions Customer Experience Management CX TransformationCustomer Contact ServicesMultichannel CommunicationsEnrollment and EngagementCare ManagementMedical and Clinical Services Claims and Administration Claims Intake and AutomationMedical Bill ReviewHealth Plan AdministrationPayment IntegrityCommunity and Population Health Human Capital Solutions Wealth Benefit SolutionsConsumer Directed Health AccountsHealth Benefit Solutions HR Management and Workforce AdministrationLearning Management SolutionsGlobal Payroll Administration Business Operations Solutions Automated Document SolutionsConsumer Finance SolutionsDigital Payments SolutionsMortgage and Loan SolutionsLockbox and Payment ProcessingFinance, Accounting and ProcurementLegal and Compliance * Government Solutions Government Solutions PaymentsChild SupportEligibility and Engagement Government Healthcare Solutions Medicaid Management (MMIS)Pharmacy Benefit ManagementDisease Surveillance & Outbreak ManagementCommunity and Population Health * Transportation Solutions Transportation Solutions Curbside ManagementPublic SafetyTransitRoad Usage Charging * Industries We Serve Column Aerospace and DefenseAutomotiveBanking and FinanceInsuranceMedia, Communications and TechnologyManufacturing and Industrials Column Energy and UtilitiesHealthcareGovernment SolutionsTransportationRetail and ConsumerTravel and Hospitality * About Column About ConduentInsightsResearch and Innovation InnovationOutside Submissions Column Leadership Board of DirectorsCorporate Leadership Column Corporate Vision, Purpose, and ValuesCorporate Governance2022 Annual ReportDiversity, Equity and InclusionCorporate Social ResponsibilityAnalyst and Advisor Resources * News * Events * Investors * Careers * Contact * United States (English) Show Filters Everything Insights Solutions News Events 1,465 results found in 1ms CONTACT SALES Contact sales solutions 25 Oct WEBINAR: HUMANIZING HR - INTRODUCING HYBRID EX IN THE NOW OF WORK Digitalization is revolutionizing work. This webinar will explore the enduring significance of human interactions in the global workplace. events Upcoming SHIELD PROVIDER PORTAL Shield Provider Portal solutions NEMA 2023 ANNUAL FORUM NEMA 2023 Annual Forum solutions 16 Oct WEBINAR: AUTOMATION IS ESSENTIAL TO REDUCE EXPENSES WITH AUTO MEDICAL CLAIMS Discover how automating medical bill management helps drive savings and reduce workflow in this webinar lead by experts in the industry. events Upcoming 15 Sep INTERNATIONAL PARKING AND MOBILITY INSTITUTE (IPMI) IPMI unites parking, transport, mobility pros of all levels and segments. events Event has passed 5 May RISK AND INSURANCE MANAGEMENT (RIMS) RISKWORLD unites global risk pros to share, learn, and connect in the risk management community. events Upcoming 6 Nov IAEM 2023 ANNUAL CONFERENCE & EMEX Event provides training and education to emergency professionals in all levels of government and non-government agencies. events Upcoming * ‹ * 1 * 2 * 3 * 4 * 5 * › CAN'T FIND WHAT YOU'RE LOOKING FOR? WE’RE HERE TO HELP. Contact Us Claims and Administration HEALTH PLAN ADMINISTRATION SERVICES Advanced technology and expert services to help improve efficiency, modernize operations and accelerate market expansion. Contact sales CONNECT WITH AN EXPERT TO FIND THE BEST SOLUTION FOR YOUR BUSINESS. Thank you! Unlock Operational Agility The operational ecosystem in which payers function is critical to overall performance, service quality, growth and future-readiness. In today’s increasingly competitive marketplace, it’s imperative to keep up with evolving technology demands and leverage expert guidance and support — to simplify and streamline workflows, enhance interoperability and foster the digital exchange of information. SEAMLESSLY COMBINE TECHNOLOGY, PROCESS AND PEOPLE TO SUPPORT A WIDE RANGE OF NEEDS. Technology to optimize your operations A recognized leader in Healthcare Business Processes, healthcare payers have tapped into our technology solution for 40+ years to streamline their operations, manage membership and enhance agility to enable growth. Processes to ensure compliance and simplify plan administration Our robust library of automated processes supports efficient, compliant health plan administration. From digital conversion of inbound paper claims to claims adjudication and supporting member and provider inquiries, we help payers elevate their performance and optimize their operations. People to support you every step of the way The seasonality of many healthcare insurance processes, combined with regional access limitations, often create staffing challenges for health plans. Conduent’s deep industry experience and global footprint lets us easily scale staff to support a wide range of health plan operational needs, from resolving enrollment application gaps to working pended claim queues and supporting appeal and grievance processes. CONDUENT NAMED A 2023 LEADER IN HEALTHCARE PAYER OPERATIONAL TRANSFORMATION BY NELSONHALL Read the report CONDUENT NAMED A LEADER IN EVEREST GROUP PEAK ASSESSMENT OF HEALTHCARE CXM SERVICE PROVIDERS 2022 Read the report CONDUENT NAMED A RISING STAR IN 2021 ISG PROVIDER LENS™ HEALTHCARE DIGITAL SERVICES REPORT Read the report EXPERT SUPPORT FOR A DIVERSE RANGE OF NEEDS: CLAIMS INTAKE AND AUTOMATION Health plans look to us for end-to-end services spanning across the intake, data extraction and processing of enrollment and claims communications — both paper and digital. Powered by the latest AI and ML technologies, our automated solutions improve document processing speed and accuracy — reducing costs while enabling better customer experiences. Learn More MEMBER ENROLLMENT SERVICES The growth of individual enrollment plans and shortened enrollment periods is challenging membership departments. We provide a suite of solutions to streamline application processing, speed new member acceptance and enhance underwriting consistency while reducing costs. Learn More PAYMENT INTEGRITY Our healthcare payment accuracy solutions combine multiple data source and proprietary technologies with extensive industry expertise and a nationwide footprint to help health plans identify and recover more overpayments while minimizing both provider and member abrasion. Learn More CORE CLAIMS ADMINISTRATION For more than 20 years, Conduent’s HSP Core Claims Administration solution has helped payers improve operational efficiency and accelerate growth. Its modular architecture provides support for all lines of business while user-defined rules and configurable workflows help optimize the complete claims lifecycle. Learn More CARE MANAGEMENT With medical spend on the rise and regulations constantly changing, health plans need a partner to help educate and engage members throughout their healthcare journey while optimizing costs. Using proprietary analytics, comprehensive data and leading decision technology, we help payers build a 360-degree view of members, including socio-economic demographics, behaviors and medical risks. Learn More PROVIDER DATA MANAGEMENT Struggling with accurate, up-to-date provider directories is a challenge. Our solution automates validation, streamlines workflows and enhances provider engagement with live support for a single source of truth. Learn More PRINT AND FULFILLMENT Conduent has been providing print and fulfillment services for over 25 years. Our U.S.-based facilities produce more than 4.6 billion impressions representing over 850 million outbound mail pieces. We can support the production of a wide range of plan administration documents including: 1) ID Cards and EOBs 2) Premium billing and member correspondence 3) Provider checks and remittance Learn More CUSTOMER EXPERIENCE MANAGEMENT Conduent brings decades of experience delivering customer service solutions that improve productivity, efficiency, and customer retention. Today, we have more than 140 domestic and offshore customer interaction centers, and offer support in more than 30 different languages. Conduent agents manage a wide range of customer service, sales and technical support for large-scale global programs. Learn More CONNECT WITH AN EXPERT 1-844-ONE-CNDT Contact Online -------------------------------------------------------------------------------- FOLLOW facebook twitter linkedin youtube instagram slideshare -------------------------------------------------------------------------------- * News * Investors * Careers * Privacy * Legal * Privacy Choices Add momentum to your mission ® © 2023 Conduent, Inc. All rights reserved. Conduent, the Conduent Agile Star, and Add momentum to your mission, are trademarks of Conduent, Inc. and/or its subsidiaries in the United States and/or other countries.