OVERVIEW

Customer experience is the key differentiator for service providers in the healthcare domain and the key to success in healthcare reform. Payors and providers who put the customer at the center require integration across communication channels and functionalities and a holistic view of the enterprise. Speridian excels in systems integration, which is the key to achieve operational efficiency with customer service, contact centers, case management, eligibility, claims, grievances and appeals accounting, billing and electronic medical records management. Integration enables information to be displayed in a 360-degree view for maximum efficiency and enabling the best possible customer experience.


OFFERINGS

BENEFITALIGN

Speridian's BenefitAlign solution helps you manage what matters most. Whether you are a Health Plan, a Broker or a State Exchange, members do matter. BenefitAlign offers the full range of options for shopping, enrollment, member service and broker management, and commissions across all lines of business — Individual, Small and Large Group, Medicare, Medicaid and HIX. At BenefitAlign, we understand your challenges — from quote to care. BenefitAlign is a comprehensive, Cloud-based solution that enables your organization to adopt innovative business models for retail, HIX, consumer-centric health plans and benefits administration. For more details, visit www.benefitalign.com.

HEALTHCARE SPECIALIZATION

Speridian professionals are well-acquainted with the needs of healthcare industry customers and the requirements imposed by HIPAA regulations. Our experts work around-the-clock to analyze, plan, deploy and support CRM solutions to ensure that our clients run reliable and efficient systems. We understand that our clients need the agility to comply with changing regulatory mandates, adhere to the dynamic levels of service standards, compete with mounting competition and meet stringent security standards — and we help them to achieve these goals.

PAYOR/PROVIDER SOLUTIONS

Speridian designs software solutions that enrich patient-provider interactions by streamlining communication between physicians and healthcare payors. Our solutions enable payors to deliver more detailed and actionable clinical data to the point of care.

PAYORS

Speridian provides state-of-the-art software solutions that enable healthcare payors to meet the ongoing demands of employers, providers and members by maximizing operational efficiency and effectiveness. Our solutions feature an open, best-of-breed design, and allow payors to easily collaborate with healthcare stakeholders in maintaining costs, increasing quality, improving care outcomes and enhancing communication. We rely on well-defined processes to deliver high-quality output on time, and offer a comprehensive suite of services to healthcare payors, including Data Capture of Multiple Claim Form Types, Pre-Adjudication, Claims Reprising, Adjudication, Contracts Management, Records Management, Provider Verification and Claim Fraud Analysis.

PROVIDERS

Speridian's solutions enable providers to make faster and more accurate decisions, which can lead to improved care, increased efficiencies and stabilized costs. In full compliance with best-in-class quality standards, Speridian optimizes solutions and services through process innovation. Over the years, we have been providing quality services to the provider segment to maximize our clients' returns. We offer a comprehensive suite of services to healthcare providers, including Medical Coding, Patient Registration and Charge Entry, Payment Posting and Reconciliation.

IMPLEMENTATION SERVICES

We offer complete project and IT implementation and support services, including:
  • CRM and ERP systems
  • Legacy systems modernization
  • Administrative, claims management, clinical and electronic health record implementations
  • Custom development and maintenance
  • Systems integration and program management
  • Business intelligence and data warehousing
  • E-health, self-service applications and portal development
Oracle partner company
CMMI Level 5