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Transforming Payer Operations With End-to-End Solutions

Driving cost efficiency, operational agility, and better client experiences through AI and automation.

overview

We partner with healthcare Payers to deliver digital-first, AI-enabled solutions that modernize operations, elevate customer experience, and ensure compliance across the ecosystem. From core platform modernization to intelligent claims processing and advanced BPaaS models, we help Payers thrive in a value-based and data-driven environment.

Healthcare practice FTEs
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Delivery Centers
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Service Offerings​

Our end-to-end payer solutions are built to accelerate digital transformation, improve health outcomes, and create smarter, more connected customer experiences.

Member Management

Member Management

Deliver personalized and seamless customer experiences by ensuring accurate benefits delivery aligned with each customer’s eligibility group resulting in enhanced experience.

Claims Management

Claims Management

Implement proven claims management solutions by combining domain experts with cutting-edge technologies, including industry-leading platforms like HealthEdge, QNxt, and Facets.

Benefit Management

Benefit Management

Empower health plans, employers, and government clients to improve affordability and clinical outcomes for populations in expensive and complex conditions.

Interoperability Solutions

Interoperability Solutions

Enable secure, on-demand data access with AI-powered scalable platforms designed to integrate and assist payers to meet the latest Interoperability compliance requirements.
 

Care Management

Care Management

Chronic care, utilization and disease management programs with automated case workflows, SDoH-driven insights, and predictive analytics for population health.

Compliance & Regulatory Management

Compliance & Regulatory Management

HIPAA and CMS compliance monitoring, data privacy management, automated regulatory reporting, and integrated fraud detection to meet evolving healthcare standards.

Payer Financial Management

Payer Financial Management

End-to-end support across premium billing, financial reporting, GL integration, revenue optimization, risk adjustment, payment integrity, and cost containment.

Payer BPaaS

Payer BPaaS

A comprehensive suite of Payer BPaaS solutions including Benefit Plan Administration, Member Management, Claims Administration, Policy Administration, and more, delivered through scalable models to reduce administrative overhead.

Challenges & Solutions

Infinite helps clients reduce errors and accelerate claims processing through intelligent automation.
Infinite leverages AI and digital platforms to deliver personalized, timely, and consistent member interactions.
Infinite helps client meet federal and state compliance with purpose-built interoperability solutions and real-time data exchange.
Infinite helps client shift to outcome-based, platform-driven operations that increase efficiency and scalability.

Insights & Resources

Testing CoE Healthcare
Case Study

Testing CoE Implementation

Cost savings, increased reliability, and enhanced efficiency via end-to-end testing.
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Claims Operations Enhancement
Case Study

Claims Operations Enhancement

Improve auto adjudication and reduced claims backlogs for a Fortune 500 payer.
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Cloud Modernization Health Care
Case Study

Cloud Modernization​

Azure Cloud transition provided easy access and a scalable IT ecosystem.
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To learn more about our Healthcare Services

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