U.S. Healthcare Payers’ Core Administrative Processing Solutions Reviews and Ratings

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

CAPS is 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.

Products In U.S. Healthcare Payers’ Core Administrative Processing Solutions Market

"Facets review"

Facets has given my company a lot of trouble over the years, I am not sure what portion of the migration has caused the issue, but when it does work it is a great program!

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""use this software for managing members information""

We overall use this software for managing members information and to task certain things to members so other agents can see what is going on.

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Gartner Research

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