Modern Claims Administration Software for Complex Health Plans
Automated Adjudication with Built-In Regulatory Compliance
Integrated Payor Solutions (IPS) is a cloud-based claims administration and transparency compliance platform for complex health plans.
It centralizes claims processing, automation, and compliance into a single SaaS environment, designed to replace fragmented legacy systems with secure, configurable infrastructure.
One Unified Platform for Regulated Healthcare Environments.
Claims Administration Is Under Increasing Pressure
Rising Claim Volume
Manual Workflows
Increasing Regulatory Oversight
Higher Expectations for Transparency and Accuracy
IPS provides claims administration software that modernizes and streamlines core claims operations while reducing compliance risk.
A Platform Designed to Address The Demands
IPS Delivers an Integrated Infrastructure that Includes:
End-to-End Claims Administration Software
Automated Claims Adjudication
No Surprises Act (NSA) and Transparency in Coverage (TiC) Compliance
Enterprise-Grade Security and Operational Oversight
IPS is a purpose-built system for modern health plan administration.
Built for Complex Health Plans
IPS supports organizations managing layered benefits, network relationships, and regulatory scrutiny.
Third-Party Administrators (TPAs)
Administrative Services Organizations (ASOs)
Provider Networks
and PPOs
Taft-Hartley and
Multi-Employer Plans
Medicare Advantage Environments
The platform is designed to adapt to evolving regulatory mandates without requiring full system replacement, allowing IPS to adapt easily to shifting business needs.
Our Platforms
Claims Administration Software Designed for Scale
Encompass+ supports automated adjudication, claims management, and operational oversight within a unified SaaS platform, Salesforce.
- Rules-Based Adjudication
- End-to-End Claims Management
- Operational Visibility
Integrated NSA and Transparency in Coverage Compliance
Transparency+ supports ongoing federal compliance with integrated workflows, reporting, and audit support.
- NSA Workflows
- TiC Reporting
- Audit Readiness
Made for Regulated Health Plan Operations
IPS is designed for organizations where accuracy, compliance, and system reliability are nonnegotiable.
The platform brings together secure infrastructure, automated adjudication, and embedded compliance within a single operating environment.
Platform Foundation
How IPS Differs
Operational Authority
IPS combines real-world payer experience with technical infrastructure designed for regulated healthcare environments.
Deep Claims
& Payer
Experience
+
Regulatory Expertise Across NSA & Transparency Requirements
+
Operational Knowledge Within TPA Environments
=
Accurate, Compliant, and Reliable Claims Administration
In healthcare claims administration, credibility matters more than hype.
Ready to Review Your Claims Environment?
An exploratory demo is a structured working session focused on your current claims operations, regulatory exposure, and scalability goals.