The Synovia Health platform underlies our Health Plan BPO Service offering allowing Synovia Health to support your health plan operation end-to-end, or health plan clients can license the platform to deliver plan services themselves.  

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The Synovia Health platform is a flexible, proprietary, cloud-based ecosystem supporting all Health Plan functions:

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• Enrollment and Billing (incl. CMS submissions), Claims, Medical Management (CM/UM), Customer Service/CRM, Provider Data Management, and Print Fulfillment

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• Self-service Portals - eCommerce, Member, Provider, Agent, and Employer

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• PBM Pharmacy integration

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• Compliance

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• Revenue Management/Risk Adjustment

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• Data Analytics

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• Differentiating features that provide for 

  • Real Time Claims Payment

  • Robotic Process Automation

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