Healthcare & Life Sciences

Rising Healthcare costs, expensive new medical technologies, and patients' demands for greater plan flexibility in choosing doctors and specialists at their will are some of the challenges facing health consumers and payers. Insurance providers are struggling to contain costs and employers are hit hard by cost increase in providing coverage to employees and retirees. At the same time, Hospitals and Health systems write off massive amounts of revenues to bad debt, which increases costs for bill paying patients.

MphasiS BPO is well positioned to address these current and anticipated challenges in Healthcare industry. MphasiS provides innovative solutions to commercial Healthcare organizations by leveraging its deep domain knowledge.

We provide services in the following areas:

• Payer: 
  • Front-end mail room / scanning, data capture
  • Claims Administration
  • Member Services
  • Customer Service
  • Benefit Coding & Plan building
  • Provider Management
  • Finance & Accounting
• Provider
  • Billing & Coding
  • Claims Analytics
  • CRM
  • F&A
• Life Sciences:
  • Research & Development
  • Manufacturing
  • Monitoring
  • Sales & Marketing

 

We provide simple and complex back-office services in claims processing, claims intake, data entry, plan building, provider maintenance and credentialing. Our services allow clients to enhance their administrative processes, improve productivity and quality of patient care, reduce costs and improve the services they in turn deliver to their customers.

Platform based products

MphasiS is a leader in automated software and business processing administration for Healthcare payers. We provide ASP and licensed software solutions for health benefit management, streamline the administrative costs and technology required to command the processes of claims, offer billing, administration, case management, workflow with imaging, online enrollment, and customer services.

Our El-Dorado subsidiary developed JAVELINA and HEALTHpac applications provide a real-time, integrated foundation for payers. The system capabilities include managed care functionality, billing and administrative functions, case management, utilization review, PPO management, COBRA management, Section 125 and CDHP administration, batch laser printing, electronic claims transmissions, dynamic online reporting and claims edit processing.

The MphasiS Difference

• Significant Healthcare domain knowledge
• Strong knowledge of popular platforms and other HP supported platforms
• Adoption of industry best practices
• Ability to provide global delivery model backed by an integrated and secure global network
• Significant cost savings via leveraged sites, onshore and offshore delivery
• Improved quality, productivity and customer satisfaction
• Ability to drive innovation and process improvements across three layers of delivery including IT, Applications and Transaction
• Improves shareholder's value by enabling more time spent on strategic decision making and planning
• Innovative and customized solutions from MphasiS Innovation Lab and Healthcare Center of Excellence