OVERVIEW
About CAPS
UST HealthProof core admin platform solutions (CAPS) give health plans a modular, customizable ecosystem built to handle everything from quote to card, card to care, and care to payment. It offers unparalleled flexibility with over 120 integration points across 30+ health plan business partners and software products. With our ecosystem, every transaction, every touch point, has less friction. It’s designed for member and provider satisfaction; and it’s built to your plan's exact specifications.

AN ECOSYSTEM PARTNER

Plans need an expert partner to cut through the complexity and connect the dots.

CEO Kevin Adams explains how our CAPS ecosystem adapts to the needs of a health plan.

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CAPS COMPONENTS
Core CAPS components
caps
Trading partner management
Electronic data interchange
Electronic data interchange
Membership and benefits
Membership and benefits
Enrollment and billing
Enrollment and billing
Authorization and referrals
Authorization and referrals
Claims adjudication & pricing
Claims adjudication & pricing
Payment
Payment
Encounter submission
Encounter submission
Fulfillment
Fulfillment

HOW WE WORK

We build to operate

Our highly customizable and configurable ecosystem is designed for your outcomes and built to your exact specs.

HealthEdge
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Advalent
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HealthEdge implementations

Harness the power of HealthEdge with UST HealthProof. We're the #1 implementation partner for HealthEdge BPaaS.

Advalent

Our software solutions for enrollment, encounters, workflow, quality and digital experience integrate seamlessly with HealthRules Payor to support efficient end-to-end operations and reporting.

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LET'S TALK!
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