healthcare benefit administration
Learn more Healthcare benefit administration
Health plans manage complex benefit structures, frequent plan updates, and adhere to stringent regulatory requirements across multiple products and lines of business. Infosys BPM supports payers with end-to-end benefit administration services that ensure accurate configuration, consistent interpretation, and compliant execution across the benefits lifecycle. Our capabilities span across benefit configuration, plan setup, coding, and benefit testing, delivered through strong governance, experienced teams, and disciplined operations.
Key stats
200,000+ Groups benefit-coded annually, including plan setup across groups
>99% Benefit configuration transactions closed within defined turnaround time
10+ Years Experience across benefit setup, benefit QA, and benefit coding for commercial, and government plans
~20,000 Benefit plans and account setups annually, including ~8,000 medical plan configurations
Benefit administration solutions & offerings
Health plans manage complex benefit plan documents and configurations that require high accuracy, consistency, and regulatory compliance. Manual handling of plan designs and benefit coding often leads to errors, rework, and delayed implementations impacting downstream operations. Infosys BPM delivers AI-led benefit administration solutions that automate documentation and configuration across the benefit lifecycle. Leveraging LLM based document intelligence and AI/ML driven search and match models, the solution improves accuracy, reduces turnaround time, and enables scalable, well governed benefit administration across platforms and products.
Services covered
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Plan & policy document creation and maintenance |
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Statement of benefits generation |
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Benefit coding and line value configuration |
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Benefit testing and validation |
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Contract and policy documentation support |
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Regulatory driven benefit updates and review |
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Benefit approval |
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Secure upload of benefit documents |
Point solutions
LLM-based plan & policy document generator
AI/ML based benefit coding search & match engine
NLP-driven benefit provision & line value mapping
Gen AI–enabled document summarization & formatting
Intelligent review, confidence scoring & validation framework
Secure automated upload & document management
Resource center
Case Study
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Explore how digitally enabled benefit administration solutions can improve configuration accuracy, reduce turnaround time, and ensure compliant, cost-efficient benefit operations across the benefits lifecycle.
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