Solutions

Health Care Claims Processing

Streamlined operations for faster, more accurate outcomes At Paradigm IT, we help healthcare organizations modernize and optimize their claims processing systems. By enhancing the functionality of existing platforms or implementing new solutions, we ensure accurate, timely adjudication of claims that improves provider satisfaction and member experience.

From configuration and integration to testing and deployment, our team leads every phase of the project. The result: improved operational efficiency, reduced processing errors, faster turnaround times, and a stronger return on investment.

Turnkey Data Management Solutions

Reliable execution for complex data initiatives Whether it’s safeguarding PHI, upgrading infrastructure, enabling cloud-based analytics, or transforming raw data into business intelligence, Paradigm IT delivers a complete, turnkey data solution. Our experienced team swiftly diagnoses challenges and implements tailored solutions with precision and speed.

Self-Service Analytics and Reporting

Empower business users with real-time insights Health plans need timely, accurate data to make informed decisions. We help modernize outdated reporting environments by designing and implementing self-service analytics systems that place meaningful data in the hands of those who need it, reducing delays and supporting smarter, faster decisions.

Seamless Digital Health Solutions

Smarter engagement, better outcomes Consumer expectations and technology are reshaping healthcare delivery. We implement secure, user-friendly digital health solutions that empower patients with actionable information while enabling providers to reduce costs, streamline operations, and improve clinical outcomes.

Accelerating Value-Based Care Initiatives

Enabling insights that drive performance-based care As the shift toward value-based care continues, health plans must rethink how they use data. We specialize in organizing and analyzing large data sets in cloud-based, self-service environments, helping clients launch, manage, and scale their value-based care initiatives effectively.

Facets Implementation

Expert-led deployments that set the foundation for growth Successful implementation of TriZetto’s Facets platform requires more than technical know-how—it demands strategic planning, deep system knowledge, and seamless coordination across business units. At Paradigm IT, we provide comprehensive Facets implementation services, guiding clients from initial requirements through configuration, testing, training, and go-live.

Our teams understand the intricacies of Facets modules and integrations, ensuring your organization gets a scalable, future-ready system that supports growth, improves claim accuracy, and enhances overall plan performance.

Ready to transform your healthcare operations?

Let’s discuss how Paradigm IT can deliver the solutions you need.