Conexia Suite
Our technological platform
What are the advantages of our platform?
The Conexia Suite is a comprehensive solution that addresses the main processes of healthcare payers, while integrating with pre-existing technological environments.
Conexia’s expert team assists each implementation and post-sales journey.
Enrollment Module
This 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
The 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 modules transform and exponentially improves the dynamics among payers, providers, and insured population. Optimize operations without compromising the quality of services provided to your members.
For workers' compensation
Conexia Suite
A solution that allows healthcare and workers’ compensation payers insurers and public health institutions to implement efficient comprehensive management solutions.
Real time interaction
Simple and fluid communication between parties.
Prior authorizations
Online validation of health benefits.
Business rules
Industry knowledge transformed into rules that add value to operations.
Reduced administrative burden
Less time in contracting services, billing and payments.
Optimization of processes
Simpler and optimized management at all stages of the process.
Cloud based solution
Ensures optimal performance and information security.
Conexia User Services team
The User Services team of Conexia is an essential piece of our platform, detecting improvements, and ensuring an optimal experience for Conexia Suite users.
Our multidisciplinary team of professionals provides support and assistance throughout the implementation and operation of the suite, generating high adherence, greater trust, and loyalty.
Change management
Advises providers on how to effectively and successfully use the platform.
User loyalty
Creates campaigns to motivate providers to regularly and consistently use the platform.
Help desk
Solves technical issues related to the platform, both through a chatbot and personalized attention.
Monitor and adjust
Supervises the platform's behavior, as well as key performance indicators of healthcare organizations.
Communication
Nurtures direct communication with providers and clients, measuring user satisfaction and loyalty.
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.