Drive Revenue Growth and Remain Market Competitive with Breakthrough Payer Solutions

Overwhelmingly, health insurers continue to focus on cutting costs and improving business processes as they seek new solutions to maintain a healthy bottom line in this challenging economy. Now more than ever, health insurers need innovative technologies to help reduce Medical and Administrative Loss Ratios (MLR/ALR), while preparing for healthcare reform and retaining membership to drive profitability.

Our extensive Payer Solutions can help support these critical business efforts. Many times we can reduce core operating costs, which can provide savings that allow the funding of additional strategic initiatives.

Serving more than 70 health insurance organizations, our team is highly skilled and well trained, and possesses deep domain healthcare knowledge. Our global network of service centers provide cost-effective solutions with sustainable results.

Our high-efficiency, high-value solutions include:

• Business Process Solutions
• Managed IT Services
• Applications Services

Business Process Solutions

Health plan administrators must be able to deliver the highest levels of customer service while controlling and managing costs through optimized administration. You can achieve these results through our innovative Business Process Solutions that support:

• Claims and Encounter Processing
• Customer Services
• Eligibility,  Enrollment, and Premium Billing
• Configuration Services
• Audit Service
• Third-party Recovery

Our business process professionals are experienced in many administrative systems that include but are not limited to: AMYSIS, Facets, EZ-Cap, WGS, Rims, NASCO, QCare, QNXT, ITS and our proprietary Xcelys® Payer Administration Software and Diamond® applications.

Managed IT Services

As a leader in Managed IT Services, Dell Services assures advanced integration of applications and infrastructure to increase stability, availability, and overall system performance. Our broad range of services and technical expertise coupled with cost-effective global delivery enables healthcare payers to maximize the return on their technology investments and achieve a consumer focus that can increase competitive edge.

Applications Services

To assist with all aspects of business and IT transformation, our Payer Applications Services provide a full array of solutions including:

• Application development and management
• Migration/re-engineering services
• Quality assurance testing and systems integration
• Development and infrastructure services