Healthcare BPO is a practice in which healthcare organizations outsource their business operations to third-party organizations. The aim of healthcare business process outsourcing services is to reduce administration costs for healthcare providers and enhance patient satisfaction.


Visionary leaders are the leading market players in terms of new developments such as product launches, innovative technologies, and the adoption of growth strategies. These players have a broad product offering that caters to most of the regions globally. Visionary leaders primarily focus on acquiring the leading market position through their strong financial capabilities and their well-established brand equity.


Dynamic Differentiators are established players with very strong business strategies. However, they have a weaker product portfolio compared to the visionary leaders. They generally focus only on a specific type of technology related to the product.


Innovators in the competitive leadership mapping are vendors that have demonstrated substantial product innovations as compared to their competitors. The companies have focused on product portfolios. However, they do not have very strong growth strategies for their overall business, when compared with the visionary leaders.


Emerging companies have niche product and service offerings. Their business strategies are not as strong as that of the established vendors. The emerging vendors include the new entrants in the market, emerging in terms of product portfolio and geographic reach, and require time to gain significant traction in the market.

Healthcare BPO Services

Comparing 25 vendors in Healthcare BPO Services across 32 criteria.
All vendors(25)

Their global claims professionals have worked across 18 clients to drive over $3 billion in administrative and medical cost savings. The company delivers the quote-to-card process, driving up to 60% reduction in enrollment turnaround time & improved predictability through proactive management. They also improve data accuracy, reduce turnaround time and pended claims volume to enable better provider relationships and improved compliance.
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Xerox focuses on product innovation to sustain its position in the market. In 2016, the company launched its Xerox Health Outcome Solutions to help providers and at-risk organizations adapt to this new way of working by managing the health of patient populations so that they are compensated for successful outcomes. The company’s cloud-based products meet HIPAA compliance, which ensures the confidentiality integrity, and availability of electronic protected health information (ePHI).
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More than half of the covered lives in the U.S. are supported by TriZetto’s Healthcare Products. Regardless of the markets, Cognizant's core administration systems allow users to administer plans across all lines of business including Commercial, Medicare, Medicaid, Individual/Small Group, Vision, Dental, Specialty and Consumer-Directed. Cognizant links automation insights and ready-to-deploy, best-in-class processes and platforms that healthcare companies require to move their operations closer to customers to provide the personalized engagement they demand.
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Genpact provides a wide range of services for payers, providers, and pharmaceutical services. The companys Lean Digital solutions help healthcare payers to transform their claims operations. Genpact is the exclusive business process services partner for NASCO, a leading provider of healthcare solutions. The company implements both payment reform and HIPAA EDI Standards, Version 5010 and follows new ICD-10 standards.
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Firstsources healthcare BPO services for payers and providers support the clients in increasing efficiencies and outcomes, reducing costs and risk, improving their Net Promoter Scores and delivering competitive services cost-effectively. The company offers a unique integration of domain expertise, process transformation culture, and proven workflow efficiency complimented by Robotic Process Automation (RPA) and Analytics technology.
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