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Conduent HSP Payer Suite

What it is

Conduent HSP Payer Suite is a core administrative processing system for health plans that manages claims across Medicaid managed care, Medicare Advantage, commercial, dental, vision, behavioral health, Health Exchange, and third-party administrator plans. It supports the claims lifecycle from capture and scrubbing through adjudication and payment distribution, with event tracking, letter generation, and compliance tools. Pre-configured workflows include Medicare Advantage “MA in a Box”; the suite also includes a rules engine, portals, and reporting. Conduent says HSP achieves 85–95% auto-adjudication and 99% financial accuracy. The product is delivered through SaaS, BPaaS, or on-premise options and offers a web-enabled experience without local installs. APIs and a web service catalog are available for enterprise integration. The platform also provides de-normalized data views and tools for document imaging, indexing, and attachment storage. Conduent says HSP supports more than 25 million members and processes 75 million claims annually. Each client receives dedicated implementation and account support. HSP is listed for API, self-hosted, and web platforms. The product page directs prospective buyers to contact Conduent; no price is listed.

For and against

For

  • Supports claims from capture through payment distribution.
  • Includes configured workflows, rules, portals, and reporting.
  • Available as SaaS, BPaaS, or on-premise.
  • Dedicated implementation and account support for each client.

Against

  • Pricing is available by contacting Conduent.
  • No price is listed.

The verdict

HSP covers multiple claims workflows and offers several delivery models, along with integration and document-handling capabilities. Buyers will need to contact Conduent for pricing and assess fit for their plan lines and deployment needs.

Who it suits

It is designed for health plans operating in the listed public, commercial, specialty, and third-party administrator lines. Organizations seeking claims administration with enterprise integration options may consider it.

Plans and prices

Conduent HSP Payer Suite

Priced on request

Pricing available by contacting Conduent

Every plan, in full

On the record

Claims automation
Conduent says HSP achieves 85–95% auto-adjudication and 99% financial accuracy.conduent.com · read 4 Oct 2026
Claims lifecycle
HSP supports claims capture, scrubbing, adjudication and payment distribution, along with event tracking, letter generation and compliance tools.conduent.com · read 4 Oct 2026
Data and documents
The platform provides de-normalized data views and supports document imaging, indexing and attachment storage.conduent.com · read 4 Oct 2026
Delivery
HSP is delivered via SaaS, BPaaS or on-premise and provides a web-enabled experience without local installs.conduent.com · read 4 Oct 2026
Integrations
Conduent says HSP has extensive APIs and a web service catalog for integration into enterprise environments.conduent.com · read 4 Oct 2026
Pricing
The product page invites prospective buyers to connect with Conduent and does not display a price.conduent.com · read 4 Oct 2026
Purpose
HSP is a core administrative processing system designed to simplify claims management across lines of business.conduent.com · read 4 Oct 2026
Scale
Conduent says HSP supports more than 25 million members and processes 75 million claims annually.conduent.com · read 4 Oct 2026
Support
Conduent says every HSP client receives dedicated implementation and account support.conduent.com · read 4 Oct 2026
Who it serves
The platform is designed for Medicaid Managed Care, Medicare Advantage, commercial, dental, vision, TPA, behavioral health and Health Exchange plans.conduent.com · read 4 Oct 2026
Workflows
The platform includes pre-configured workflows such as Medicare Advantage “MA in a Box,” a rules engine, portals, claim scrubbing and reporting.conduent.com · read 4 Oct 2026

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