Integration Plus™

OVERVIEW

Alleviate the burden of managing data exchange and transformation

Managing data from various sources is crucial for health plan operations. Minimizing manual processes and simplifying data transformation across systems boosts efficiency. Integration+™ provides a complete SaaS solution to integrate, scale, and adapt with lower implementation and development costs. We offer business management services like Enrollment, Provider Management, Customer Service, and Claims Administration to improve operational efficiency, member outcomes, and regulatory compliance.

CAPABILITIES

Everything is connected

Integration Plus™ Platform, a Software as a Service (SaaS) solution, is a secure, robust, enterprise-class integration layer built on modern cloud technology with secured real-time and batch access to Core Administration platforms and a variety of systems with built-in transaction audit, balance and control

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Modernize IT infrastructure and leverage data

  • Upstream and downstream data integration
  • Relational database for easier access  
  • Structured by functional areas to enable faster turnaround to business data needs
  • Aggregate data from multiple sources 
  • Pre-built integrations for ancillary services, claim repricers, payment integrity, portals and more 
system repair

Configure systems for your plan

  • Apply plan-specific business rules
  • Transform data required for applications and interfaces
  • Custom data validation in specific scenarios
  • Stay compliant with centralized data management and proven data governance policies across systems
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Improve data flow across the organization

  • Status and error reports
  • PULSE status dashboard to monitor interfaces and provide end-to-end traceability of claims and payment data
  • Audit information to track transaction history
  • Reconciliation and balancing

BENEFITS

Providing a clear path to increased customer satisfaction

Business continuity

Enable secure, seamless communication between systems

Data mapping and transformation tools map data between different formats and structures

Enrollment Technology

Configurable and customizable

Adapt to your plan’s unique requirements and lines of business

Report

Audit trails and reports

Maintains comprehensive audit trails and generates insightful reports for enhanced transparency and accountability

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Integrated monitoring

Proactively identify errors, inefficiencies, and bottlenecks through integrated monitoring

Drive business and operations outcomes and efficiency with the Integration Plus™ solution

1500

Global agents

100%

All lines of business

100+

Prebuilt ancillary integrations

1

Cloud-based, scalable solution

Let’s unburden your health plan today

Reach out to discover how our innovative solutions can help unburden your plan and streamline operations. Together, we’ll elevate your business to new heights

CONTACT US
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SOLUTION GROUPS

Featured Core Administration solutions 

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Enrollment Plus™

Automate eligibility verification, export and in-load files and rosters and easily export enrolled members into their core claims system, and generate correspondence—all while maintaining compliance, decreasing costs, and improving member retention
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Engagement Plus®

Purpose-built digital service center that delivers optimal customer experience by integrating payer Core Administration platform with best-in-class consumer engagement point solutions for a comprehensive service platform
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Workflow Plus®

Innovative operations management solution designed specifically to optimize workflows, processes and monitoring
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Insitz Plus

Leading-edge business intelligence and reporting solution designed specifically for health plan operations and performance