Service Offerings

Infosys BPM offerings for healthcare payers

Infosys Payer BPM impacts more than 30 million lives through its services spanning:

  • Claims management
  • Provider / network management
  • Member management
  • Plan / benefit management
  • Care management

Our services are augmented by powerful business and operational analytics, as well as, our expertise in operations consulting and technology.

Our model comprises BPM-specific offerings, point solutions, analytics, technology, and consulting.

BPM-specific offerings

We offer comprehensive payer administration services across industry segments that include:

  • Enrollment services
  • Network management services
  • Claims management services
  • Care management services
  • Contact center services

In addition to payer administration, we also provide payment integrity, audit services, application support, and various analytical services including operational analytics.

Point solutions
We collaborate with you to create point solutions that bring operational efficiency and administrative effectiveness. Our integrated IT-BPM point solutions in claims administration, provider services, benefit coding, and plan setup have brought in substantial productivity and quality improvements.

Our dedicated practice across business and operational analytics helps payers with operation analytics, fraud analytics, analytics for regulatory compliance, provider performance analytics, ACO / PCMH analytics, and provider network adequacy services.

Technology and consulting
We leverage expertise, methodology, and tools from Infosys to support payers as they battle to reduce the cost of application development, maintenance and support, and hardware. Our payer consulting practice has expertise across business, operations, and technology consulting. We help with payers’ blueprint, large-scale IT and business transformation programs, and guide them on turnkey initiatives.

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