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.
CAPS COMPONENTS
Core CAPS components
Trading partner management
Electronic data interchange
Membership and benefits
Enrollment and billing
Authorization and referrals
Claims adjudication & pricing
Payment
Encounter submission
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
Advalent
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.
LET'S TALK!
Schedule a complimentary operations assessment