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PAYER CORE
Modernizing core applications ecosystem and processes with digital technology
Modernize operational processes such as claims, enrollment, billing, and customer service to enhance care quality, member satisfaction, and regulatory compliance. Leverage CitiusTech’s next-generation technologies, solutions, products, and expertise to reduce Total Cost of Ownership (TCO) and improve operational efficiencies. Deploy automation, GenAI capabilities, and best-in-class 3rd party platforms to become a digital-first connected enterprise.
Advisory
or Consulting
Product
implementation
Operations
optimization
Legacy modernization and migration
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CONNECT WITH US
Elevate business efficiency and customer satisfaction with our Payer Core Solutions.
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features
Transforming end-to-end core operations
Seamless implementation
Implement a core administrative platform that seamlessly aligns with business functions, delivering operational benefits in cost efficiency and quality improvement.
Payer core engineering
Avail engineering services across customization, data integration, and/or integration with upstream and downstream applications.
Boost agility and productivity
Leverage our center of excellence coupled with accelerators for configuration, testing, and automation to increase speed-to-market and productivity.
Case Study
Implemented HRP to serve 600K+ members
Migrated 127+ benefit plans for a health system to HRP. Flexible workflows and rules boosted the claims auto-adjudication rate to 90% and led to a 40% reduction in time to market for new health plan launches.
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Case Study
Implemented payment integrity business rule engine
Implemented Drools for agile configuration and management of business rules engine, supporting 200+ Payers. Achieved 85% faster processing and 6.5x system efficiency improvement.
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