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We are

Exdion, a division of Crossdomain Solutions is an offshore service provider for the US health
insurance industry. Exdion was established in the year 2000 by industry professionals and
supports Third Party Benefit Administrators, Cost Containment Companies, Brokers and
Medical Billing Corporations.
Exdion is an 27001 certified firm based out of Bangalore, India and New York with multiple
delivery centers in India. Exdion possesses the zeal to meet the global knowledge process
outsourcing industry requirements. We ride Process Improvement methodologies such as Six
Sigma & Kaizen and the objective has always been to utilize best practices for delivering
continual value to customers and stakeholders.
Vision
To be a major international outsourcing services provider for critical, information-intensive
processes, by leveraging information technology and domain expertise to deliver value to
the customer.
Exdion
The Preferred Partner for Offshore Health Insurance Process Services
Services that work for your Business.
The Experti se, The Dri ve And The Wi l l To Del i ver
Email id: info@exdion.com
URL: www.exdion.com
We have a proven track record. Drop us an email or visit us online for case studies!
410 Park Ave.
15th Floor
New York, NY 10022
USA
: 646.257.3490
212.231.8442
The Client:
A pioneer in the development of networks for international
health payers a full service TPA administering a wide
variety of domestic & international accident, health
insurance and cost management services.
The Challenges:
Managing international health claims involved complex
processes that were highly customized and manual. Claim
Indexing and mapping claims to members was a challenge
as international member information is available only after
claim receipt. The productivity of highly qualified claim examiners was being under-utilized
in simple data entry processes, leading to a dis-engaged workforce and high costs.
Managing over 3400 plans required complex manual adjudication and medical history
review. This led to a high adjustment rate and missed timelines.
The Solution:
Our Business Excellence team initiated a detailed discussion with the members of
management, supervisors and processors of the client to understand the process and
prepare Standard Operating Procedures. Opportunities for process improvement were
identified and discussed with the clients management.
Exdion built 2 teams a data processing team for claims mapping and an adjudication team.
The adjudication team comprised of medical professionals and experienced claim analysts
who sifted through the numerous plans, assessed plan language and built a simple
searchable database tool that displayed key coverage components enabling quicker
decision making.
Within 3 weeks, the client noticed a marked increase in their quality and productivity.
Operational expenses dropped by over 40% with SLA driven deliverables.
#5th Floor, STC, Trade Center Building
Near Police Station
Nandini Layout
Bangalore 96
: 91-80-2301 6500
CENEX, 94, 2nd Main
Industrial Suburb 2nd Stage
Yeshwanthpur,
Bengaluru - 560 022
: 91-80-4034 3400
#20, 4th Eastcross Road,
Gandinagar Katpadi
Vellore-632006,
Tamil Nadu
: 00416-2241895
2242895
One of our Success Stories
A Division of Crossdomain Solutions Pvt. Ltd.
6 5 1
Services that work for your Business.
The Experti se, The Dri ve And The Wi l l To Del i ver
Process Excellence: Exdions investment in human capital and technology tools for
project management has resulted in consistent quality of deliverables and enabled
clients to access, modify and manage information with ease. Exdions commitment to
service excellence stems from the quality standards adopted, and the passion to
continuously raise the bar to enhance performance by adopting the proven 6-Sigma
and Kaizen approach.
Human Capital: Exdion lays great emphasis on acquiring right talent and retaining
them through various people management practices that are unique and rewarding,
both to the enterprise and to clients. Exdion fosters teamwork and also assists
employees to achieve their personal aspirations in tune with the organizational goals.
Information Technology: Exdions IT knowledge and domain competence has
provided the edge to develop information systems to implement process innovation
and continuously increase efficiency and turn-around-time for business critical
processes. Exdion has adopted the latest-technologies on the most robust, scalable and
secure platforms, to make the services available 99.99%, with a global delivery
perspective. Exdion is HIPAA Compliant and ISO 27001:2005 certified.
YOUR CUSTOMER EXPECTATIONS.
LEVERAGE OUR EXPERIENCE TO ACHIEVE QUALITY AND EXCEED
Why Exdi on?
Lower Cost of Operations: Our
strategy of operating out of tier II
and III cities in India, has given us an
edge over our competition. We have
reduced our costs by close to 40%
and this benefit is directly passed on
to our customers. As a result, our customers can significantly improve profitability
against in-house or even presently outsourced solutions.
Flexible Offshore
Solutions for Your
Business
Healthcare Portfolio
Exdion team is skilled in all aspects of Plan Administration for medical, hospital, dental
and vision plans and is experienced with a wide variety of fully insured, self-funded and
short term medical plans. Exdions Healthcare team comprises of medical professionals
and insurance experts with various certifications including AAPC, CPCU, INS etc. and
decades of experience in US health insurance.
Challenges faced by TPAs
Stagnant PEPM revenue base but sharp increase in PEPM costs
Inability to improve operating margins due to low efficiency
arising out of highly customized plans
Lack of independent claim audit leading to a high adjustment rate
Huge Correspondence Volume and Ageing
Exdions Solution
Improved Data Integrity, Procedural Compliance & Financial Integrity
Decrease in per claim and PEPM costs
Decreased Budget Vs Expense Variance and Expense growth
SLA driven Predictability in Quality and Timeliness
A recent survey infers that payroll costs contribute 59% of PEPM expenses. Leveraging
Exdions global workforce helps you significantly reduce PEPM costs while ensuring
operational excellence. Our Business Excellence methodologies facilitate continuous
innovation, leading to:
2 3 4
Claims Processing
& Adjudication
Referrals/Authorizations
FSA
Administration
Member/Provider Enrollment
& Data Management
ID Cards & Other
Documentation
Plan Entry
Loading, Testing,
& Maintainance
Plan
Administration

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