Payer Solutions

Conduent Named a Leader in Everest Group Healthcare Payer Intelligent Operations PEAK Matrix Assessment 2026

Recognized as a “Leader” for helping payers address rising operational complexity through modern, platform led intelligent operations strengthened by AI-driven innovation and scalable execution.

Advanced User Access Management

Enable secure, scalable and streamlined data collaboration. Manage user roles, safeguard sensitive data and streamline collaboration — all within a single, intuitive platform.

Future-proof your Core Administrative Processing System: Strategic insights for healthcare payers

For healthcare payers, the core administrative processing system (CAPS) is the nucleus of operations, customer experience interactions, billing, revenue realization and workflow management.

Pharmacy audits uncovered: Are pharmacy benefit managers doing enough?

Pharmacy Benefit Managers (PBMs) play a crucial role in overseeing prescription drug spending, ensuring that claims are accurate and preventing fraud, waste and abuse.

Recovering millions for a nationwide payer

Recovering millions for a nationwide payer

Modernizing outbound communication - print and digital processes for business efficiency

Closing gaps in care and enhancing member engagement with proactive outreach

Case study: 24+ years of partnership with a major health plan leads to billions in recoveries

Recover more overpayments and improve the bottom line through our long-standing alliance with providers.

NelsonHall NEAT Summary Report for Conduent: 2024 Healthcare Payer Operations Transformation

NelsonHall ranks Conduent as a Leader in Healthcare Payer Operations Transformation

Credit Balance Solutions: Recover more overpayments through our long-standing alliance with providers

As a neutral third party with a nation-wide provider network, we partner with provider and hospital system billing offices on your behalf to validate credit balances and optimize recovery.

Everest Group Healthcare Payer Operations PEAK Matrix Assessment 2023 - Focus on Conduent

This year Conduent is positioned as a Leader for its ability to support the healthcare payer value chain with innovative product development and end-to-end solutions.

BPaaS Infograpic - Four areas pivotal to health plan operations success

NelsonHall NEAT Summary Report: 2023 Healthcare Payer Operational Transformation

Conduent is designated as a Leader in the Overall market segment in 2023’s NEAT report for Healthcare Payer Operational Transformation.

Saving a regional health plan $5.4M+ per year in claims processing costs

Partnering with us, this healthcare plan achieved big savings and a nearly five-fold increase in its processing capabilities to handle more than 3.3M claims annually.

Driving Down Health Plan Enrollment Costs, Delays and Errors

Your Medicare Advantage Program