Program administration for state health plans

As your partner, we’ll help support your back-office processes with efficiency, applied automation and a people-first philosophy. Our solutions help you with:

Rising Enrollments
Increased demand for government programs often outpaces resources. We’ll help you get the most from every dollar.
Tailored and Targeted Solutions
Just as your health program is designed to accommodate the needs of a specific population, our back-office processes are tailored to your specifications.
Increased Efficiency and Accuracy
Sixty years of continual industry innovation translates into administrative solutions that streamline every day or unforeseen challenges.
Improved Experiences
As your partner, we offer your providers and beneficiaries a consistent experience, time after time.
Effective Provider Management
A strong provider management program leads to a more engaged provider network and ultimately, better outcomes. We’ll give your providers the support they need.
Expand Access to Care
Our nation is working to decrease inequalities in health care, especially among underserved populations and in rural areas. We’ll help you be part of the solution.

How can we help you?

Solutions for Health Plans

Claims Management

Bring greater efficiency, transparency and consistency to your claims process.

Provider Management

Set providers up for success with your plan/program.

Contact Centers

Trust your reputation to our contact center team (concierge, responsive, customized for the individual, tie to people first.

Medical Review

Benefit from expert oversight of the 300-member clinical staff trusted nationwide.

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