healthcare claims processing
Get a demo Healthcare claims administration services
Health plans manage high claim volume, frequent exceptions and stringent prompt pay expectations. Infosys BPM supports payers with reliable claims administration services that enhance accuracy, minimize prompt pay interest and reduce rework while enabling teams to consistently meet SLA and regulatory requirements. Our capabilities span across claims lifecycle including intake, adjudication, adjustments, claims audit and overpayment recovery and cross accumulation, all delivered through strong process controls and disciplined operations.
Key stats
26+ Million Claims processed annually
>99% Claims closed within defined turnaround time
17+ Years Experience across Medicare, Medicaid, and commercial lines of business
~1.5M+ Appeal transactions handled annually across 50 states
Claims administration solutions & offerings
Health plans that operate across multiple core platforms encounter fragmented workflows and data silos, reducing transparency into performance, efficiency, and overall plan health. Infosys BPM addresses these challenges through integrated healthcare claims automation solutions that streamline operations and improve transparency across the claims lifecycle.
Our offerings combine deep payer domain expertise with AI-enabled healthcare claims processing, digital workflows and analytics driven insights. We support platform-led delivery models that strengthen operational control, enable proactive exception management and deliver actionable reporting across stakeholders helping payers modernize claims operations at scale.
Services covered
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Claims intake |
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Claims adjudication |
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Claims adjustment |
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Claims quality audits |
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Data entry |
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Cross accumulation |
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Claims policy and clinical service requests |
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Payment dispute appeals |
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No surprise act claims |
Point solutions
Agentic AI for claims
Claims workbench
AI-next digital worker
Gen AI-enabled appeals & grievances
Pre-auth gen AI/ML model
Advanced reporting and analytics
Intelligent audit
Resource center
Request for services
Get in touch to explore how digitally enabled claims operations can enhance accuracy, improve turnaround time and drive cost efficiency across the claim lifecycle.
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