CLIENT OBJECTIVES
Provide operational excellence
Improve quality care for beneficiaries
Optimize resources to generate savings
CONEXIA SERVICE MODEL
INDUSTRY EXPERTISE
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.
TECHNOLOGY PLATFORM
The ONE platform includes numerous modules and is designed to be versatile for each client, from micro to macro processes.
USER SERVICES
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
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.
BENEFITS
Eligibility Verification
Verified by swiping a card or entering information into our portal.
Care Coordination
All providers have access to the same data for an injured worker.
Medical Management / Utilization Review
Application of evidence-based medicine at the point of care.
Statutory & Management Reporting
Customized, real time reports; all data centrally located.
Claims Processing
Real-time validation replaces claims processes.
Provider Billing
Real-time authorization automatically generates an electronic invoice.
Proactive Risk Control Analytics
Track injured worker health in real time & design automated interventions.
Fraud / Abuse Deterrence
Business rules to detect potentially abusive activity in real time.
Put the real-time adjudication solution to work for you
See why Conexia is the leading trusted software vendor in the global payer community.
More about our Real-time Adjudication
At Conexia, we use our deep industry experience to optimize the balance between quality of service for patients, administrative costs and medical costs.
Know more about our Real-time Adjudication for Workers' Compensation
A trusted leader in the global payer community
