Healthcare Claims Platform Integrations
Connect Claims, Compliance, and Operational Systems Without Disruption
Integrated Payor Solutions supports secure integrations across the healthcare claims ecosystem. Built on Salesforce, IPS helps TPAs, ASOs, networks, Taft-Hartley plans, and Medicare Advantage organizations connect claims administration, reporting, payment, and compliance workflows without replacing existing infrastructure.
IPS enables API-based connectivity, coordinated data exchange, and configurable integration workflows designed to improve operational efficiency, reporting consistency, and long-term scalability.
Built for Healthcare Ecosystem Connectivity
IPS integrates with the core systems healthcare organizations rely on for claims processing, provider management, payment, reporting, and compliance.
Through configurable integrations and governed data exchange, IPS helps organizations connect operational workflows, reduce manual processes, and maintain more consistent reporting across systems.
Claims and Clearinghouse Connectivity
Clearing Houses
Enables claims intake, EDI-based workflow processing, and coordinated clearing house data exchange.
Medicare Fee Schedule
Provides access to current Medicare fee schedule data to support claims pricing and reimbursement workflows.
Provider and Network Data
National Plan and Provider Enumeration System (NPPES)
Maintains current provider identification and reference data to help maintain accurate provider records and workflows.
Healthcare Highways
Connects provider networks connectivity and reimbursement workflows.
MultiPlan
Delivers network-based claims pricing and reimbursement management.
First Health
Provides provider network access and reimbursement management workflows.
Anthem
Connects claims and provider network workflow integration.
Cigna
Enables provider connectivity and claims-related workflow integration across healthcare operations.
M Health Care
Facilitates provider-related operational workflows and healthcare service coordination.
Alignment Health Plan
Connects Medicare Advantage-related claims and operational processes.
United Food & Commercial Workers (UFCW)
Supports labor and benefits-related healthcare administration workflows.
Optum
Delivers network-based claims pricing and reimbursement management.
Pharmacy Benefit Management
Magellan Health
Supports specialty healthcare and pharmacy-related operational workflows.
Prime Therapeutics
Connects pharmacy benefit management and pharmacy claims coordination workflows.
RxBenefits
Helps manage pharmacy cost containment initiatives for self-funded plans.
US-Rx Care
Delivers pharmacy reimbursement and cost containment initiatives for self-funded plans.
Financial and Payment Operations
QuickBooks
Synchronizes accounting workflows and claims-related financial activity, including transactions, payment records, and operational reporting.
Checkeeper
Streamlines claims payment processing and check management workflows within coordinated financial operations.
NetSuite
Supports financial management and operational reporting workflows.
Equitable
Facilitates benefits-related financial workflows and operational coordination across integrated systems.
Reporting and Analytics
Tableau
Transforms claims and operational data into reporting dashboards and visual analytics.
FAIR Health
Supports reimbursement benchmarking and pricing analysis.
WiseTrend
Improves reimbursement accuracy and cost containment initiatives through pricing and claims analysis workflows.
Workforce and Business Operations
Outlook
Connects communication and workflow management connectivity.
VoIP Phone
Provides caller identification, communication workflows, and account-level operational visibility for service teams.
GoCo
Supports HR administration and workforce management workflows across integrated operational environments.
Salesforce Service Cloud
Delivers customer service workflows, case management, and operational support coordination.
Salesforce Health Cloud
Connects healthcare workflows and coordinated data exchange across Salesforce environments.
Secure, Flexible Integration Architecture
IPS delivers a secure, flexible integration framework that works alongside existing systems without disruption.
From APIs and EDI workflows to secure file exchange, IPS enables reliable data movement across claims, provider, payment, reporting, and compliance systems. The result is more consistent processes, improved data integrity, and a stronger foundation for scalable operations.
Frequently Asked Questions
Connect Your Existing Systems with IPS
Connect with the IPS team to discuss integration workflows, implementation planning, and operational requirements within your existing healthcare ecosystem.