Payer Solutions

End-to-end operations + integrated wellness

Payer Solution

Built for insurers, TPAs, self-funded schemes, and health e-wallets. Operate benefits, pre-auth, care/case, claims & finance—and integrate wellness via ZHEP.

Core Modules

→ Product & benefits ·  → Enrollment ·  → Provider & tariffs ·  → Authorizations ·  → Care/Case management ·  → Claims/adjudication ·  → Payouts/reconciliation ·  → Analytics

Interoperability
Modern APIs & FHIR so HIS/EMR, labs, and claims talk to each other.

Outcomes
Higher activation and redemption; clearer reporting for executives.

>> AI, safely: Pre-auth triage, claims anomaly signals, next-step prompts—human-reviewed with audit trails.