CDS Healthcare Payer Suite®

Innovation is powering health care IT transformation. Are you ready for what’s next?

CDS Healthcare Payer Suite® is a unified, real-time enterprise core administrative and claims management system. More than simply claims processing, this comprehensive platform helps payers modernize technology and processes to lower costs and enhance the member and provider experience.

CDS Healthcare Payer Suite’s value-based portals provide a 360-degree view of all program channels and facilitate the customized interactions needed to increase satisfaction and retention.

We Sell What We Do®

Real-time Processing, 360-Degree Program View

Claims Processing

Configurable benefit system
Multi-tier plans
Value-based benefit designs
Real-time settlement and liability determination
Paperless EOB processing

Membership and Billing

One-click enrollment
On demand bill generation
Instant premium collection and posting
Easy navigation for entering, retrieving and inquiring about data

Population Health Management

Reduce health care expenditures
Integrated mobile and web wellness campaign
Real-time, plug-and-play link with external platforms

Member and Provider Portals

Customized dashboards
Self-service functionality on secure website and mobile app
Real-time access to eligibility, claim status, authorization status, customer service and other services
Electronic Data Interchange gateway

Reporting

Easy access to accurate information
Single source of truth for operational data
Easy import to external data warehouses
Ability to leverage existing data analytics with minimal disruption

Customer Service

360 degree view allows for customized interaction and increased retention
Cloud virtual call center integration
Computer Telephony Integration
Multi-media document generation

Secure Hosting

Secure HIPAA, PCI and HITECH hosting
Multiple, disperse data center complexes
Specialized physical, data and network security