Provide operational excellence
Improve quality care for beneficiaries
Optimize resources to generate savings
CONEXIA SERVICE MODEL
With over 20 years of experience and over 250 global employees, Conexia has an unparalleled level of expertise with provider operations, clinical delivery, payer operations and technological solutions for each participant in the healthcare ecosystem.
Conexia has a wide scope of expertise, with clients in public health, commercial health, workers’ compensation and various governmental care programs.
Conexia takes a customized approach to supporting the various users with each client. This approach allows us to focus on the preferred methods of contact for each client.
Our partnerships typically include specific service level agreements that allow the client to measure the effectiveness of our response. Conexia trains our staff to provide answers and solutions that focus on the usability of our solutions as well as general technical support.
MONITORING AND CONTROL
Our analytic tools allow the client to explore real-time data about the population and the performance of Conexia’s solution. The metrics and indicators are customized to the client’s specific needs.
This management dashboard provides real-time decision support to monitor and improve operational performance.
DEDICATED CLIENT TEAM
Our dedicated client team is there to implement, maintain and continuously adapt the solutions we deliver to clients.
Each client team is comprised of business analysts and technical staff, supported by the broader Conexia team. This structure maximizes impact while leveraging best practices.
Verified by swiping a card or entering information into our portal.
All providers have access to the same data for a patient.
Medical Management / Utilization Review
Application of evidence-based medicine at the point of care.
Statutory & Management Reporting
Customized, real-time reports; all data is centrally located.
Real-time validation replaces claims processes.
Real-time authorization automatically generates an electronic invoice.
Track member health & design automated interventions.
Fraud / Abuse Deterrence
Business rules detect potentially abusive activity in real time.