Health Administration

Nexus is the fit-to-purpose Health Administration solution we provide. Our clients trust Nexus to provide services aligned with their own unique product rules and requirements, while remaining reliable and scalable as their needs change.

Health Administration

Nexus is the fit-to-purpose Health Administration solution we provide. Our clients trust Nexus to provide services aligned with their own unique product rules and requirements, while remaining reliable and scalable as their needs change.

"Our business is about technology, yes. But it's also about operations and customer relationships."

Michael Dell

Health Management Features

Nexus is built to cater for large transactional volumes. As an administration platform, it processes on average +/- 800,000 real-time claims a month with an average response time per claim under 4 seconds.

This efficiency is a cornerstone of Nexus’ success. It is a rule-based, user-configurable solution designed to support real-time processing. Nexus responds without fail when our clients need it most.

As such, Nexus is a system created with automation in mind. It features a sophisticated integrated imaging system, as well as proactive communication capabilities vital for the ever-shifting demands of medical administration.

These capabilities are powered by Nexus’ unique, essential features and modular administration platform. Some key capabilities of the Nexus platform include:

  • Real-time interfacing and processing of transactions
  • Intelligent, real-time communication with healthcare providers and the people they serve via SMS, email and integration into mobile apps
  • Fully customised client set-up
  • Excellent on-going client support
  • Proactive health risk management through a rules-based clinical adjudication system, driven by each client’s specified clinical rules and protocols
  • Fast response times to manage consistently high volumes of claims and non-claim transactions
  • Support for various clinical classification standards, such as ICD-10 and CPT diagnostic codes

Key Contacts

Photo of Corné Language

Corné Language

General Manager ICT Operations

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