HGS Healthcare

Transformative healthcare solutions

Engage, retain, and care for your patients and members

Healthcare resources are more scarce than ever. HGS specializes in augmenting healthcare teams to deliver better patient, member, business, and financial outcomes.

Factoring the needs of health plans and providers, we interact with members and patients to deliver evidenced-based, timely, preventative, personalized, cost-effective, and whole-person care that improves health, value, and quality of life.

We help you to help others by assuming responsibility for non-core activities, such as claims processing, clinical appeals, member administration, customer service, provider management, data management and analytics, collections, compliance and adherence, and back-office administration.

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Drive value across every aspect of health plan operations

HGS Health+CARE assists payers by supporting transformative initiatives across your entire ecosystem

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Make patient engagement a priority

HGS Health+CARE knows the pressures that provider practices face and understands where to focus assets for optimal patient experience.

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Pharma and life services

Control costs while driving business process transformation

HGS’s Health+CARE deep pharma expertise and industry-leading compliance ensure process excellence


Robotic process automation driving cost simplification & reducing time

Axispoint accreditation case management

Our healthcare accreditations

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Maximizing value with

RPA Innovation

for a major payer’s claims processing

As one of the world’s largest healthcare payers, this HGS client works closely with brokers and consultants to develop innovative programs; help individuals and families improve their health, well-being, and sense of security; and lower their medical costs.

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Industry-related case studies

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