Best U.S. Healthcare Payers’ Core Administrative Processing Solutions Reviews 2024

Q: What are U.S. Healthcare Payers’ Core Administrative Processing Solutions?

CAPS are a critical tool for U.S. healthcare payer business enablement, consisting of software and services that support health insurance administration and transaction processing. These solutions historically reside at the center of payer architecture, serving as the system of record for claims and, in many cases, for member enrollment, premium billing and provider fee schedules as well. CAPS tend to be the most significant technology investment payer CIOs make, not just in the initial purchase, but on an ongoing basis as they are expensive to operate and maintain. Once implemented, CAPS is a sticky solution, with an average tenure within a payer environment easily exceeding a decade. As such, CIOs must ensure that the CAPS selection has the scalability, extensibility and adaptability to reliably perform in a rapidly evolving market climate rife with uncertainties. In this way, they will unlock the value of reduced manual and rework costs, decreased operational risks, and improved flexibility to meet market demands and increase revenue.

TriZetto Facets Enterprise Core Administrative Platform

By Cognizant

2.9

(4 Ratings)

Cognizant is focused on engineering modern businesses. The main problem it resolves is helping clients with modernization of their technology, reimagining their processes, and transforming their experiences to adapt to the rapidly changing world. Thus,...

Show More Details

TriZetto QNXT Enterprise Core Administration System

By Cognizant

5

(1 Rating)

Cognizant is focused on engineering modern businesses. The main problem it resolves is helping clients with modernization of their technology, reimagining their processes, and transforming their experiences to adapt to the rapidly changing world. Thus,...

Show More Details

Accenture Health Administration BPO Services

By Accenture

Accenture is a professional services corporation that has global capabilities in cloud, digital, and security domains. With proficiency and dexterity spanning across more than 40 sectors, Accenture provides a range of services such as Strategy...

Be the first to write a review.

Aspen Web Portals

By HealthAxis Group

Be the first to write a review.

Burgess Source

By Burgess

Be the first to write a review.

Core Stack 2.5

By HealthAxis Group

Be the first to write a review.

eHealthsuite

By Ram Technologies

Be the first to write a review.

Enterprise Health Solution

By HM Health Solutions

Be the first to write a review.

Enterprise System

By Wonderbox Technologies

Be the first to write a review.

Healthcare Administration

By SS&C Technologies

Be the first to write a review.

Healthcare Claims and Member Management Operations

By NASCO

Be the first to write a review.

Healthcare Core Administrative System

By Evolent Health

Be the first to write a review.

Healthcare Solutions

By Vee Technologies

Be the first to write a review.