Healthcare
Helping payers modernize operations and improve the member experience
Technology and Business Support to Help Payers Transform
We Can Help
Payers rapidly need new skillsets and the ability to leverage these technologies. Our experts do just that – optimize technologies and fill skillset gaps to support strategic goals.
- 15 years of experience supporting payers
- Focus on the entire end-to-end payer journey
- Understand payers’ unique regulatory, compliance and infrastructure complexities
- Experts in emerging technologies, Agile methodologies and data optimization
Claims Management
A broad approach to helping Plans improve AA rates and lower operational costs by analyzing pend/edit issues, leveraging data tools, and implementing system fixes that lead to improvements across the Enrollment, Membership, Pricing and Provider areas
Provider Data
Improve data quality through new data management, governance, and business intelligence methods
Business Agility
Scaling Agile and Product Management practices
Payer Specific Issues
Reimbursements, fraud mitigation, telehealth initiatives, and securing personal health information (PHI)
End-to-End Payer Support
“One of the best ways we can improve the member’s experience is by ensuring that their claims are paid accurately and promptly. I have been fortunate to spend the last several years working with one of the premier claims processing applications in the federal healthcare space. It gives me great personal satisfaction to see how many of the claims we process are handled without a single hitch or glitch.”
Jim
Senior Technical Project Manager
Success Stories
Improve Payment Integrity by Paying the Right Provider
Learn how xScion helped a national healthpayer to leverage machine learning and automation to reduce the need for manual review and enable the client to devote human resources to higher value activities.
A Winning Case for DevOps
Read how xScion helped a national health insurer association to launch an optimized software devliery platform leveraging open source and best-in-class DevOps tools and best practices.
Creating a Customer Focused Digital Experience
Read how xScion supported a healthcare claims processor for federal employees to successfully launch a member-centric, real-time integrated portal and mobile application.
Ready to Turn Change Into Value®?
Our team of experts are ready to help.