Conexia Suite

What are the advantages of our platform?

The Conexia Suite is an advanced healthcare payer solution designed to streamline core processes while seamlessly integrating with existing IT systems. Our expert team ensures smooth implementation and ongoing support, maximizing efficiency and operational success.

Enrollment Module

Facilitates the enrollment of the member population, collecting demographic, coverage and data needed to support the enrollment. It ensures the information is loaded into the appropriate internal systems, including memberships and billing.

Payments Module

Helps generate clear policies for creating contracts and evaluating providers, optimizing services for the insured population and enabling the generation, tracking and monitoring of contracts with different providers

Authorizations Module

Automatically verifies all requests for benefits, medical services and drugs made by the providers' network. It does so from an administrative, contractual and medical perspective by managing the rules and validating each request in real time.

Drug Management Module

Optimizes user access to medications, visualization of the entire process of electronic prescription, and allows the establishing of safe use strategies, such as detection of polypharmacy, drug interactions, and maximum dose control.

Provider Network Management Module

Optimizes the audit of billing and the validation of administrative rules. Centralizes the reception and control of invoices. Includes the detection and management of claims or debits.

Solutions

We support our clients with technology, knowledge, and best practices, improving
the interaction within the healthcare ecosystem.

For Healthcare Payers

The Conexia Suite revolutionizes healthcare payer operations by enhancing collaboration between payers, providers, and the insured population. Our modular approach streamlines processes, improves efficiency, and ensures high-quality care—without compromising service excellence for your members.

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For Workers' Compensation

Access a powerful technological platform designed to streamline workers’ compensation processes. Enhance claim management, automate workflows, and ensure seamless coordination between insurers, providers, and employers—all while improving efficiency and compliance.

Conexia Suite

A solution that allows Healthcare and Workers’ Compensation Payers, Insurers and Public Health Institutions to implement efficient comprehensive management solutions.

REAL TIME
CONNECTIVITY

Simple and fluid communication between parties.

SEAMLESS PRIOR AUTHORIZATIONS

Online validation of health benefits.

AUTOMATED RULES ENGINE

Industry knowledge transformed into rules that add value to operations.

REDUCED
ADMIN
WORKLOAD

Less time in contracting services, billing and payments.

PROCESS OPTIMIZATION EFFICIENCY

Simpler and optimized management at all stages of the process.

CLOUD-POWERED SOLUTION

Ensures optimal performance and information security.

Conexia's User Services team

The User Services team of Conexia is an essential component of our platform, detecting improvements and ensuring an optimal experience for Conexia Suite users.

Our multidisciplinary team provides support and assistance throughout the implementation and operation of the suite, generating high adherence, greater trust, and loyalty.

Change management support
User engagament  & retention
Dedicated help desk
Continuous monitoring and optimization
Effective communication strategies
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Contact Us

Fill out the form, and our experts will connect with you soon to help transform your healthcare organization with Conexia.