AXIOM Systems, Inc.

Improve Auto-Adjudication Rates for Optimized Claims Processing Roughly 75% of claims today are auto-adjudicated, yet 15% still require a level of manual review - often the most complex and costly claims. Manual claims processing can take days or even weeks and cost up to $25 per claim [1]. Increasing auto-adjudication rates through system optimization can significantly reduce processing times and costs, reducing outstanding claims and improving provider satisfaction. AXIOM Systems consultants are highly skilled in Core Administration Processing System configuration and have assisted numerous health plans unlock new efficiencies and drive down administrative costs and improve operational performance. Partner with AXIOM Systems to elevate your core administrative processing capabilities and increase auto-adjudication rates. #HealthcareTechnology #CAPS #HealthcarePayers #OperationEfficiency [1] 2024 CAQH Index Report published in February 2025.

Speed up Provider Payments for Improved Relationships Health plans that optimize their claims and payment workflows can accelerate provider reimbursements. Currently, manual claim payments cost up to 40% more than electronic transactions [1]. With tighter integration and transaction automation, health plans can reduce payment cycles, improve provider trust and network engagement. AXIOM Systems helps payers optimize their claims workflows with System Enhancements and Business Process Optimization as well as the deployment of robust EDI products which are highly configurable to address your transaction challenges and improve provider payments and relationships. Partner with AXIOM Systems to elevate your core administrative processing capabilities. #HealthcareTechnology #CAPS #HealthcarePayers #OperationEfficiency [1] 2024 CAQH Index Report published in February 2025.

Payers' and providers inefficient implementation of EDI business processes and “error-prone” self-developed and/or integrated solutions cannot keep up with the evolving regulatory standards being implemented across the payer/provider landscape.?There is significant pressure on healthcare organizations to automate business processes and scale infrastructure, meet industry-wide and legislative requirements, and lower overall costs – all while complying with federal and state healthcare regulations and processes. Our EDI products at AXIOM Systems are highly configurable and can meet all of your EDI transaction needs in a cost effective and efficient manner. Please contact [email protected] to learn more. #EDIproducts #payerSMEs #claimsystemexperts

Optimizing Your Core Administrative Processing System Upgrading systems and implementing new technology is essential for growth, efficiency, and regulatory compliance—but these initiatives come with challenges. Data migrations, workflow disruptions, and integration issues can slow operations if not handled properly. With decades of healthcare IT experience, AXIOM's Consulting Services ensures seamless transitions. Our services include: - End-to-end project management to reduce risks and downtime - Expert data migration to maintain accuracy and integrity - System integrations that align with existing workflows and third-party applications - Comprehensive testing & validation to prevent errors before go-live A system upgrade isn’t just a tech investment—it’s an opportunity to enhance efficiency and future-proof your operations. Let’s make it seamless. What system challenges are you currently tackling? Reach out to explore tailored solutions. #HealthcareIT #SystemIntegration #DataMigration #AXIOMConsulting #OperationalExcellence

Tackling the Challenges of a New Benefit Year The start of a new benefit year brings unique challenges for healthcare organizations. Processing claims tied to updated benefits, addressing prior-year carryovers, and ensuring compliance with new regulatory requirements can strain resources and systems. With tight timelines and increased member activity, efficiency and accuracy are more critical than ever. At AXIOM Systems our consulting team specializes in helping healthcare organizations navigate these complexities. Our team of seasoned experts provides: - Strategic guidance to streamline claims processing workflows. - Proven solutions for compliance with the latest regulatory mandates. - System optimization and integration to reduce errors and administrative costs. - Support in scaling operations to meet early-year spikes in activity. With over 25 years of healthcare IT experience, AXIOM Systems delivers tailored strategies to improve operational efficiency and ensure your organization is prepared for success in the new year. Let us help you focus on what matters most—delivering quality care while we handle the rest. #HealthcareIT #ClaimsProcessing #RegulatoryCompliance #AXIOMConsultingServices #OperationalExcellence

Unlock Your Cognizant/Trizetto Facets Project Success and Set the Stage for 2025 As year-end deadlines approach, many health plans find themselves juggling Facets configuration demands, product upgrades, and heightened enrollment activity. Without the right guidance, these overlapping priorities can expose organizations to operational risks and inefficiencies, from data discrepancies to member service disruptions. AXIOM’s deep Facets expertise helps stabilize core systems, ensuring configurations are precisely tuned, upgrades run smoothly, and workflows remain efficient—even under tight timelines. By mitigating risks upfront, we empower health plans to meet their year-end goals, streamline operations, and confidently enter the New Year fully prepared for growth and success. #Healthcare #Payers #Facets #Configuration #Efficiency #YearEnd #ProductUpgrades #AXIOMConsultingServices

Regulatory change is a constant in the healthcare industry, but for Payer organizations, the pace and complexity of these changes are accelerating. Keeping up isn’t just about staying compliant—it’s about staying competitive. New mandates from the Centers for Medicare & Medicaid Services (CMS), such as the Interoperability and Transparency in Coverage rules, are pushing Payers to upgrade their technology and rethink how they operate. At the same time, workforce shortages, cybersecurity threats, and outdated systems make modernization a challenge. Modernizing technology is no longer optional—it’s a strategic imperative for healthcare Payer organizations. From ensuring compliance to improving efficiency and security, the benefits are clear. The key is to start now. Ask yourself: Where is your organization today, and where does it need to be tomorrow? By addressing interoperability, cybersecurity, and analytics, you can not only meet the challenges of today’s regulations but also build a more resilient, future-ready organization. The journey to modernization may seem daunting, but the rewards—greater agility, efficiency, and member satisfaction—are well worth it. Partner with AXIOM Systems to elevate your core administrative capabilities and stay ahead of industry demands.

Axiom Systems' TransShuttle product, a powerful tool designed to enhance real-time transaction processing for health plans and payers. TransShuttle provides a comprehensive solution for Real Time Eligibility and Claim Status transactions with features like: A user-friendly interface for 271/277 requests and responses in human-readable form. Support for batch-to-real-time conversion for eligibility (270) and claim status (276) files. Fully compliant with CAQH CORE II operating rules for connectivity, security, and authentication. Real-time tracking, reporting, and configurable endpoints to fit your processing needs. It’s a scalable solution deployed and managed on AWS, ensuring high availability and security. Let's schedule a call to explore how TransShuttle can reduce operational overhead and improve transaction accuracy. #HealthcareTech #Payer #Compliance #EDI

Transforming Healthcare Payer Operations with AXIOM Services In a rapidly evolving healthcare landscape, the need for efficient and robust Core Administrative Processing Solutions (CAPS) has never been more critical. AXIOM Consulting Services brings unparalleled expertise in system integration, implementation, upgrades, and efficiency enhancement for healthcare payers. We empower organizations to modernize their CAPS systems, driving streamlined operations, improved accuracy, and better service delivery. According to Gartner, 2025 CIO Agenda: Top Priorities and Technology Plans for Healthcare Payers, “50% of Payers plan to invest in Core Administrative Processing Solutions (CAPS) in the coming year.”^1 This highlights the industry’s growing commitment to optimized core operations and the role AXIOM plays in leading these transformative initiatives. Partner with AXIOM Consulting Services to elevate your core administrative capabilities and stay ahead of industry demands. #HealthcareTechnology #CAPS #CoreAdministrativeSolutions #HealthcarePayers #SystemIntegration #OperationalEfficiency #AxiomConsulting #HealthcareInnovation ^1 Gartner, 2025 CIO Agenda: Top Priorities and Technology Plans for Healthcare Payers. Gartner is a registered trademark and service mark of Gartner, Inc. and/or its affiliates in the U.S. and internationally. All rights reserved

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