Conduent HSP Payer Suite vs Openkoda Claims Management Software

Conduent HSP Payer Suite is a core administrative processing system for health plans, with claims management spanning Medicaid Managed Care, Medicare Advantage, commercial, dental, vision, TPA, behavioral health, and Health Exchange plans. Its claims lifecycle includes capture, scrubbing, adjudication, and payment distribution, with event tracking, letter generation, and compliance tools. The suite also offers pre-configured workflows such as Medicare Advantage “MA in a Box,” a rules engine, portals, and reporting. Conduent says HSP achieves 85–95% auto-adjudication and 99% financial accuracy. Delivery options are SaaS, BPaaS, or on-premise, with a web-enabled experience that does not require local installs. APIs and a web service catalog support enterprise integration; data views are de-normalized, and document tools cover imaging, indexing, and attachment storage. Conduent says the platform supports more than 25 million members and processes 75 million claims annually. Each client receives dedicated implementation and account support. Pricing is available by contacting Conduent; the product page does not list a price.

Openkoda Claims Management Software has no write-up on Specifiction yet; its figures are above.