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Payer Systems Consulting

Core Administrative Processing Systems (CAPS) are the backbone of any payer organization. The right systems - properly select and implemented - can mean the difference between an efficient, agile operation and a cumbersome health plan unable to adapt to changing business and regulatory demands.

Supporting you with targeted expertise

The Maven One team has decades of experience assessing, selecting, implementing, and optimizing payer systems. From claims processing to provider data management and credentialing platforms, we bring unique insights backed by deep understanding of both technology and operational needs.
Measurable proven results
Pragmatic results-oriented solutions
Experience across multiple LOBs
Innovative approaches
Reliable expert guidance
Long-term, scalable thinking

Broad experience, deep insights

We have extensive experience with major platforms including Cognizant's QNXT, HealthEdge's HealthRules Payer, and Conduent's HSP/Meditrac. We've also successfully migrated from numerous legacy systems, giving us deep insight into their challenges - from data quality issues to adapting the stricter standards of modern platforms.
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