For over 15 years, Speridian’s Healthcare Practice has helped customers build future-ready digital healthcare organizations with our proven technological expertise and experience in the healthcare industry. By leveraging our innovative solutions, healthcare organizations can execute a digital front door strategy that personalizes the customer experience at every touchpoint yet helps them remain agile and responsive to unforeseen challenges.
Our Healthcare Services
Our Services
Payer Solutions
Innovative front-office solutions supporting Carriers, Brokers, and Employer groups with everything from Product Libraries and CRM solutioning to shopping and enrollment platforms, private exchanges, and member portals, along with integration APIs and prebuilt accelerators for nearly all of the market-leading claims platforms.
In addition to this, we offer a comprehensive suite of services:
- Complete personalized experience covering Marketing, Sales, Member Services, Customer Care
- End-to-End Quote to Card (product configuration & management, shopping, custom plans, eligibility, enrollment, renewals) for all channels and all lines of business
- Carrier Portals with guided assistance for consumers (individuals and employer groups) and brokers
- Solutioning for all lines of business: IU65, Small, Mid, and Large Groups, including IFP, Medicare, and Self- Funded
- Modernized portals and mobility for members, brokers, groups, and providers
- Billing & Payment
- Incentive Compensation
- Membership and Payment Reconciliation with FFM
- Predictive & Prescriptive Analytics
Provider Solutions
For decades, Speridian has provided value to the leading Providers, by developing, maintaining, and supporting flexible and customized applications that transform the patient experience and deliver efficiency in revenue and cost management.
We offer comprehensive solutions leveraging the latest NextGen technologies for:
- Referral Lifecycle Management
- Physician Liaison
- Work process aggregation and automation addressing Physician Burnout
- Intelligent Document Intake and handling Patient 360
- Predictive Analytics and Dashboarding
- Chat Bots
- EMR Integration and Calendaring
(State-based and Federal Marketplace)
We help public sector agencies become more customer-centric and data-driven with our innovative solutions, and enable healthcare companies to expand their reach by connecting with exchanges. We ensure a seamless integration, interoperability, and smooth transition.
Our services include design and implementation of:
- CMS Certification and EDE on-exchange integration and operationalization
- Integrated Call Center and Case Management Solutions
- Governance & Project Management Services
- External and internal interfaces
Bolster reactive and proactive engagement with customers and other stakeholders
PAYERS
PROVIDERS
EXCHANGES
Healthcare in Action
Insights
Our client is a not-for-profit organization that provides a range of health insurance and related products to more than 365,000 members primarily in western New York.
