Our BPM solutions bring IT closer to your business than ever before. The technologies and tools that we adopt to meet the client’s requirements follow the best industry practices such as Lean and Six Sigma. We ensure that the customized application caters to all the needs and guarantee absolute integration among process, application, and content. The ‘What-if’ analysis that we do helps resolve problems before they become major issues. Our proven solutions for key functional areas in insurance includes- claims processing, membership enrollment, Billing, Provider.

  Claim processing: -

Our solutions can integrate the ever-changing hierarchical complex business rules, which are typical of claims processing, with the application. This can be done without having to change the application’s interfaces in the event of new business rules. The solutions use the best business engines to capture these complex business rules and achieve greater simplicity without denting the performance. “Think global, Act local” is our driving force—we have locally customized application interfaces in many different languages and the application is tailored for individuals’ needs such as debugging tools for developers, intelligent review screens for claims examiner, and so on.Please contact bpmalliances@felixhealth.com for more details about our solutions for the claims processing using BPM solutions.

   Enrollment: -

With our BPM solutions the complete enrollment application can be handled in a simpler and faster manner. Neither does the client have to change member applications nor the interface for implementing new benefits. Efficient online enrollment processing and bulk enrollment processing are possible. With our approach the client could also choose to use integrated customer support with applications. Real-time data analysis is especially useful for the marketing team to create new benefits, plans, and thus make it easier for the customers.Please contact bpmalliances@felixhealth.com for more details about our solutions for the enrollments using BPM solutions.

   Billing: -

The billing applications can be effectively included with the other functional areas. The cost and time needed for the implementation would be very low.

  Provider: -

We have a number of products integrated with market leading BPM tools to address Payer issues.

Value Additions

With our BPM solutions, you not only quickly simulate the operations of a new process prior to deployment but also gain our insight and knowledge of the insurance industry to effectively handle today's complex business market.

Our BPM is enabled by SOA and the best industry practices to help increase revenues and enhance productivity. The continuous improvement because of adaptation to real-world and real-time events and conditions make the process mature. Even though our solutions are oriented towards making your business a bigger success they wouldn’t take the focus off your customers.

Our approaches for integrated BPM solutions enabled by Lean, SOA, and SCA for Healthcare have an established track-record.