Enrollment XO is a tool that scrubs enrollment data (from standard systems such as Employee Navigator) for errors and generates TPA-specific import files. It also compares data with the prior feed and generates reports to track exceptions.
TPAs can offer their employers and broker partners proactive exception reporting and change analysis reports to turn data into decisions.
TPAs can offer their employers and broker partners proactive exception reporting and change analysis reports to turn data into decisions.
Claims XO® is a “claims clearinghouse” that scrubs electronic claims for errors, aggregates and generates TPA-specific import files to upload into your system (WEX Health, Alegeus, etc.).
CXC works with over 75 different insurance carrier feeds for processing medical, vision, dental, etc. claims. We support future format changes and store data in a SOC2-compliant system.
CXC works with over 75 different insurance carrier feeds for processing medical, vision, dental, etc. claims. We support future format changes and store data in a SOC2-compliant system.
Claims XO® matches insurance carrier claims with debit card transactions using a set of configurable rules. This solution has been used to achieve over 98% auto-substantiation rates.
Our solution is not “one size fit all” – we allow you to set tolerances for service date, claim type, etc. to align with your compliance policies. We store claims and transactions in a SOC2-compliant system.
Our solution is not “one size fit all” – we allow you to set tolerances for service date, claim type, etc. to align with your compliance policies. We store claims and transactions in a SOC2-compliant system.
TPAs seek to reduce labor costs associated with mundane data entry and claims adjudication processes for administering Section 125 plans. Managing capacity during times of peak demand is a challenge as well.
CXC offers a secure, 24x7 personalized extension of your own team for these processes. We are staffed with experts who have 350+ combined years of experience in the benefits industry.
CXC offers a secure, 24x7 personalized extension of your own team for these processes. We are staffed with experts who have 350+ combined years of experience in the benefits industry.