Portals for health plans and TPAs
Araxsys
Provider, member, and nurse portals for utilization review, care management, appeals, and correspondence.
Products
Portals for health plans and TPAs
Provider, member, and nurse portals for utilization review, care management, appeals, and correspondence.
Payer analytics
Track CMS prior authorization metrics and use operational and population reports to identify revenue cycle gaps and opportunities in HCC, HEDIS, and Stars.
Medical policy and authorization rules
Author medical policies and criteria in a CQL workbench. Edit electronic prior authorization rules and run them through payer-side Da Vinci CRD, DTR, and PAS services.
Electronic medical record
An electronic medical record for point-of-care practices, with a patient portal and built-in electronic prior authorization with payers.
Telehealth video visits
Offer video visits on their own, in mobile apps, or embedded in an EMR or member or provider portal.
Health data interoperability
A FHIR server and integration hub with AI faxing, Patient Access, Provider Access, and Payer-to-Payer APIs, plus X12, HL7 v2, C-CDA, and NCPDP gateways.
AI workflow platform
Healthcare organizations in the US and Puerto Rico can build, run, monitor, and update AI agents. Technical teams connect models, tools, and data. Staff can assemble workflows such as prior authorization on a visual canvas using ready-made blocks.