Infosys Healthcare BPO Services
Navigate Your Next
At Infosys BPM, we combine our strong domain expertise, flexible operating model, and integrated IT-BPM solutions to address the changing dynamics of the healthcare industry through our healthcare BPO capabilities. Our healthcare BPO services are designed to transform operating models, improve business performance, and standardize processes with reduced costs for healthcare providers and organizations.
Why choose our healthcare BPO?
We deliver comprehensive, end to end BPO services for the healthcare sector, encompassing benefits administration, member management, claims administration, provider data management, analytics, appeals processing, and clinical services. Our scale, geographic reach and operational depth enable us to support complex healthcare ecosystems with accuracy and efficiency.
End-to-end healthcare offerings
30M+ health plan memberships across 19 states
26M+ claims processed annually
200K+ group benefits coded annually (including plan setup)
150K providers serviced through provider data management
~8.4M+ clinical services volumes processed annually
~1.5M+ appeal transactions handled annually across 50 states
Claims administration
- Claims data entry
- Claims adjudication
- Claims adjustments
- Claims audit
- Overpayment recovery
- Cross accumulation
Benefit administration
- Plan setup/case install
- Benefit coding
- Benefit testing
- Contract drafting
- Legislative review
Member management
- New membership
- Enrollment and eligibility
- Premium billing and reconciliation
- Member grievance and appeals
Provider Management
- Provider credentialing
- Provider data management
- Provider contract management
- Provider grievances and appeals
- Provider network onboarding
Clinical services
- Medical necessity reviews
- Prior authorizations
- Member satisfaction surveys
- Utilization and case management
- Pharmacy intake
- HEDIS reporting
Customer experience
- Member and provider support
- Member onboarding
- Eligibility and enrollment
- Health plan digital marketing
- Clinical calls
- Service desk support
Standardise processes to reduce costs
Healthcare BPO insights
Success Stories
Bringing values to businesses through our products and services
Case Study
Case Study
Our Healthcare BPO Services Offerings
Discover Solutions, Services and offerings for Healthcare
BPM specific offerings
- Claims management
- Provider / network management
- Member management
- Plan / benefit management
- Care management
- Medical management
- Business analytics
Point solutions
- Claims OEMS
- Assist Edge
- Benefit testing
- Infosys iTransform
- HWAK Eye
- iBeat
- iEDPA (Data privacy suite)
- TeSteward
- AcceleraTest
Request for services
Find out more about how we can help your organization navigate its next. Let us know your areas of interest so that we can serve you better
All the fields marked with * are required
