Encompass +

Modern Claims Administration Software Built to Scale

Encompass+ is a cloud-based claims administration software platform built on Salesforce for TPAs, provider networks, ASOs, Taft-Hartley plans, and Medicare Advantage organizations that automates adjudication, strengthens compliance controls, and scales with complex health plans without requiring expanded internal IT infrastructure.

See Encompass+ in Action

Built for Operational Complexity

Problem

Legacy claims systems were not designed for today’s regulatory demands or complex plan structures. Manual review, rigid configuration, and integration limitations increase administrative cost and compliance exposure.

Solution

Encompass+ serves as the operational core of your claims environment, centralizing adjudication, plan logic, reporting, and oversight within a secure SaaS platform built on Salesforce. Configurable workflows support operational scalability while reducing reliance on internal IT resources.

Encompass +

Core Platform Capabilities

Automated Adjudication

Rules-driven workflows apply plan logic consistently, reduce manual intervention, and improve payment accuracy.

Configurable Plan Management

Support for multi-plan administration, layered pricing, eligibility structures, and negotiated rates within one platform.

Cloud-Based Architecture

Scalable infrastructure, API-ready integrations, and real-time reporting built for long-term growth.

Built for Regulated Healthcare Environments

Encompass+ supports:

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Third-Party Administrators

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Provider Networks & PPOs

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Provider Networks & PPOs

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Taft-Hartley Trust Funds

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Medicare Advantage Organizations

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Compliance and Security by Design

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Encompass+ is developed for regulated healthcare operations and supports HIPAA-compliant claims processing, structured audit documentation, controlled system access, and secure data management.

Speak With an IPS Specialist

Designed to Work Within Your Ecosystem

Encompass+ integrates with portals, reporting systems, payment vendors, and IPS solutions, including Transparency+. Plus, with the power of Salesforce, the system centralizes claims administration while maintaining interoperability across your technology stack.

Implementation and Pricing Designed for Growth

Transitioning claims platforms can introduce operational disruption. IPS removes common barriers through a practical implementation approach aligned to client growth.

There is no upfront implementation fee, and billing does not begin until the platform is fully configured and operating according to the agreed project scope.

Pricing follows a per-member, per-month structure that scales alongside membership growth.

Frequently Asked Questions

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See how Encompass+ supports modern claims administration at scale.

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