Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
Authorize, claim processing and payment are available at the point-of-care. Improve care coordination and improve outcomes for lower medical costs while streamlining administrative processes. Engage providers at point of care to share and capture data in real time, resulting in an unprecedented exchange of health information. We work with our clients to develop risk management strategies that produce better outcomes at lower costs. We aim to improve the user experience of everyone in the ecosystem. To optimize clients' resources, we deliver a minimum of a 3:1 ROI. Conexia has created a core technology platform (ONE), which can be customized to meet the different regulatory requirements and operational processes of each client in each geographic region. Our initial implementation is usually an overlay on the existing technology ecosystem of the payer to create real-time processes.
Description
HM Health Solutions offers a comprehensive end-to-end solution designed specifically for health plans. With the Enterprise Health Solution, you can obtain the necessary support and achieve the desired business outcomes from a singular, integrated health plan administration platform. This suite of applications and tools oversees a wide range of functions, spanning from sales and enrollment to billing and claims, along with provider and clinical management, as well as customer service. The Enterprise Health Solution (EHS) stands out as the sole verified end-to-end solution that ensures a smooth transition for members from the enrollment stage all the way to claims payment. While other providers may assert that they deliver a fully integrated solution, they often fail to clarify that this may require the sequential purchase of multiple modules to realize true integration. In contrast, the Enterprise Health Solution maintains a singular focus on health plan administration, ensuring that our expertise in the payer space is unmatched. Consequently, when you choose EHS, you are opting for a platform that prioritizes your health plan’s unique needs and operational efficiency.
API Access
Has API
No
API Access
Has API
No
Integrations
No details available.
Integrations
No details available.
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Types of Training
Training Docs
No
Webinars
No
Live Training (Online)
Yes
In Person
No
Types of Training
Training Docs
No
Webinars
No
Live Training (Online)
No
In Person
No
Vendor Details
Company Name
Conexia
Founded
1996
Country
United States
Website
conexia.com/en
Vendor Details
Company Name
HM Health Solutions
Founded
2014
Country
United States
Website
www.hmhs.com
Product Features
Benefits Administration
COBRA Administration
No
Claims Management
Yes
Deduction Management
No
Disability Insurance Administration
No
Employee Benefits Administration
No
FMLA Administration
No
FSA Administration
No
Flexible Spending Accounts
No
For Brokers
No
For Employers
No
HIPAA Compliant
No
Health Insurance Administration
Yes
Life Insurance Administration
No
Online Benefits Enrollment
No
Premium Billing
No
Provider Management
Yes
Retiree Administration
No
Retirement Plan Management
No
Claims Processing
Adjustor Management
No
Case Management
No
Claim Resolution Tracking
Yes
Co-Pay & Deductible Tracking
No
Compliance Management
Yes
Customer Management
No
Electronic Claims
Yes
Forms Management
Yes
Paper-Based Claims
No
Payor Management
No
Policy Administration
Yes
Healthcare CRM
Audience Targeting
No
Campaign Management
Yes
Marketing Automation
No
Medical History Records
Yes
Patient Communications
No
Patient Management
Yes
Physician Management
Yes
Predictive Analytics
Yes
Hospital Management
Accounting Integration
No
Appointment Management
No
Appointment Scheduling
No
Bed Management
No
Billing & Invoicing
No
Claims Management
Yes
In-Patient Management
No
Inventory Management
No
Medical Billing
Yes
Out-Patient Management
No
Patient Records Management
No
Physician Management
No
Policy Management
Yes
Revenue Management
No
Medical Billing
Claims Processing
Yes
Claims Scrubbing
No
Code & Charge Entry
No
Compliance Tracking
No
Customizable Dashboard
No
Dunning Management
No
Invoice History
Yes
Patient Eligibility Checks
Yes
Practice Management
No
Quotes/Estimates
No
Remittance Advice
No
Population Health Management (PHM)
Analytics
Yes
Cost-of-Care Analysis
Yes
Data Storage
No
EMR/EHR Integration
No
Patient Engagement
Yes
Patient Identification
Yes
Patient Risk Stratification
Yes
Patient-Reported Outcomes
Yes
Payment Bundling
Yes
Predictive Alerts
Yes
Test & Treatment Reminders
Yes
Utilization Tracking
Yes
Product Features
Claims Processing
Adjustor Management
No
Case Management
No
Claim Resolution Tracking
No
Co-Pay & Deductible Tracking
No
Compliance Management
No
Customer Management
No
Electronic Claims
No
Forms Management
No
Paper-Based Claims
No
Payor Management
No
Policy Administration
No