Infosys BPM Healthcare 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. Our solutions are designed to transform operating models, improve business performance, and standardize processes with reduced costs.
Insights
Why Us?
We offer end-to-end services for the Healthcare sector in the areas of Benefits Administration, Member Management, Claims Administration, Provider Management, Analytics, and Care Management & Clinical Services. We process 6 million claims annually and service 15,000+ providers through data management.
End-to-End Healthcare Offerings
30+ million Health plan membership
6 million Claims processed annually
15,000+ Providers serviced through data management
50,000+ Groups benefit coded, including plan setup across groups
Benefit Administration
- Plan setup/case install
- Benefit coding
- Benefit testing
- Contract drafting
- Pre-underwriting support
Member Management
- New membership renewal & termination
- Member contact center
- Premium billing and reconciliation
- Agent/broker management
Claims Administration
- Mail room services
- Claims data entry
- Claims adjudication
- Re-pricing/adjustments
- Claims audit
- Appeals/issue resolution
- Overpayment Identification
- Payment integrity
- COB adjustment
- Complaint, grievance & redressal
Provider Management
- Provider credentialing
- Provider data management
- Provider contact center
Digital Services
Digital content
- Content authoring & publishing
- eLearning
- Content curation
Digital marketing
- Multi-channel campaign management
- EKG interpretation from wearables
- Digital analytics
Analytics
- Retro & prospective FWA analytics framework.
- Analytics + AI framework
- Infosys Genome Analytics solution
- Platform-agnostic tableau dashboards
Care Management & Clinical Services
- HEDIS reporting
- Medical necessity reviews
- Member satisfaction surveys
- Utilization management
- Case management
- Disease management
- Pharmacy intake
Standardise processes to reduce costs
Success Stories
Bringing values to businesses through our products and services
Case Study
Case Study
Case Study
Our 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
