Conduent HSP Payer Suite vs tech11 Insurance Platform

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.

tech11 Insurance Platform is a core system for managing insurers’ digital policy and claims processes. It is intended for traditional and digital insurers, reinsurers, underwriters, and insurance departments within industrial companies. The platform supports property, liability, accident, and motor insurance for private and commercial business. Its Product Engine lets users configure products without prior technical experience. Policy management covers issuing, adjusting, and terminating policies; claims management spans the first notification of loss through processing and settlement. Additional modules handle partners, documents, accounting, business processes, commissions, and reinsurance. APIs expose services for integration with existing systems and ecosystems. The platform supports multiple clients, currencies, and languages, with an integrated tax solution. Its container-based microservices are orchestrated by a Business Process Management System. Customers can run it as SaaS with a provider of their choice or on premises. The vendor describes 24/7 monitoring, backup and disaster recovery concepts, defined service desk management, and customer-specific service level agreements. Pricing is on request.