Managed Payer Gateway

Powering payer operations with centralized connectivity

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Simplify Operations. Accelerate Performance.

Streamline your connection to clearinghouses and trading partners

Fragmented Connectivity

Inconsistent data exchange and integration overhead complicate operations, increase costs, and delay claim processing.

Claim Submission Errors

Inaccurate, incomplete, or non-compliant claims lead to rejections and adjudication delays.

Slow Issue Resolution

Inefficient claims intelligence delays detection of claim errors and corrections, prolonging adjudication timelines and increasing provider frustration.

Inefficient Data Management

Disparate sources for claims, remits (ERAs), eligibility, and claim status create blind spots that hinder timely decisions, slow operations, and increase manual effort.

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A Single Connection to Cut Costs and Complexity

SSI simplifies transactions and enhances claim accuracy and processing speed. With a unified gateway, health plans reduce operational costs and ensure reliable data exchange.

Connect Smarter. Process Faster. Perform Better.

SSI’s Managed Payer Gateway is tailored to the unique operational, technical, and business requirements of each client. As an extension of your EDI and IT teams, SSI aligns with your strategic priorities, proactively supports key initiatives, and helps improve performance.

Unified Connectivity

Single gateway for all transactions provides connectivity to clearinghouses, providers, and third-party administrators.

Intelligent Edits

A library of proprietary edits reduces rejections, leading to higher acceptance rates on the first submission.

Electronic Data Exchange

Paper claims are digitized, ERA retrieval and distribution are automated, and electronic attachments are supported to minimize manual tasks

Intelligent Routing

Claims are processed efficiently across our network, eliminating staff intervention and bottlenecks that delay processing.

Data Warehouse

A centralized repository for claims, ERAs, eligibility confirmations, and real‑time claim status provides a convenient single source of truth.

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Let’s Lower Costs and Drive Better Outcomes

Connect with our team to get started.

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Prior Authorization

Denial Management

Claims & Clearinghouse

Eligibility

Remittance Management

Insights & Analytics

Quality Measurement

Payer Claims Operations

Prior Authorization

Denial Management

Claims & Clearinghouse

Eligibility

Remittance Management

Insights & Analytics

Quality Measurement

Payer Claims Operations