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ApexClaims Platform

Automate and use advanced analytics to improve your claims processing with fine-tune precision for increase savings

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  1. / ApexClaims



Get Automatic Bang for your Buck

The ApexClaims platform is characterized by a synergy between advanced technology like the cloud, processes that aim for precision every time, and a team of experts adept at building tailor-made claims analysis solutions for payers

Claims Administration

Let AI-backed insights show you how to create breakthrough improvements in pre- and post-payment processes. Manual touch reduction helps you do it right the first time, while claims processing and audit builds better compliance

Member Management

Drive your member management systems easily and efficiently with automation. Push for higher star ratings, increase member satisfaction and maximize enrollment

Provider Network Management

Manage your network of impaneled providers at scale with credentialing services, contracting, and improved process tracking and reporting through automation

Risk Coding

Leverage machine learning models to identify risks and adjust according to Hierarchical Condition Category (HCC), which assesses expected medical costs based on a proven scoring system  

Maximize Your ROI with AI

Using classification and anomaly detection models to predict financial leakages, ApexClaims can help you:



Apexon in Action

See how Apexon helps ED enterprises enhance their revenue cycle management processes.


Healthcare Revenue Management Firm Reduces Denials by 95%

Discover how we helped a healthcare firm save costs and reduce denials with an RPA-enabled claims processing system.


Healthcare Payer Saves Overpayments Worth $1.5M per Annum

Discover how we helped a US-based healthcare payer intelligently adjudicate claims and predict likely overpayments with 99.7% accuracy.


Insights That Drive Real Results


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