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HxOps offers extensive, flexible front and back-office administrative services with a customer-first methodology that boosts productivity, improve processes and reduce costs. Our systems are continuously enriched to meet and exceed best practices.

Our solutions are designed to enable clients to:

  • Outsource non-core functions to a trusted, tech-enabled partner
  • Pay health insurance claims faster, more accurately and at a lower cost
  • Optimize the relationships between utilization, cost and outcomes
  • Better align payers, providers and patients through improved communication
  • Increase access to data and improve the speed and accuracy of data exchange
  • Grow membership and improve star ratings

Key Features

  • Appeals & Grievances
  • Claims Administration
  • Compliance Consulting
  • Credentialing
  • Enrollment
  • Fulfillment
  • Medical Management (UM/CM/DM)
  • Member Services & Communications
  • MRA
  • Over the Counter
  • Premium Billing
  • Provider Maintenance
  • Provider Services & Communication
  • Revenue/Risk Management
  • System Configuration

Key Benefits

Customizable- Customers can outsource all plan operations, or a targeted, single-line service

Cost-Effective- Teams have the ability to leverage our operational scale and technical infrastructure

Quality Service- Clients can seamlessly transition and extend your team