Healthcare Digital Modernization Services
Transforming payer and provider ecosystems with smart digital platforms.
Healthcare Digital Transformation for Payers & Providers
Healthcare organizations are advancing to deliver seamless digital experiences, faster operations, and assured compliance. Modernization unlocks end‑to‑end workflows, real‑time data exchange, and coordinated, high‑quality care. Tata Elxsi partners with payers and providers to turn fragmented legacy estates into connected, compliant, and insight‑ready ecosystems that scale.
We combine AI‑driven analytics, cloud transformation, intelligent automation, and design‑led engineering to elevate member and patient journeys. From workflow orchestration to scalable telehealth and remote monitoring, we build resilient, interoperable, and secure digital health environments that improve access, reduce friction, and accelerate time‑to‑value.
Intelligent Workforce Management in Enterprise Healthcare Operations
Business Challenge
Payers and providers grapple with fragmented systems, fax/portal‑driven prior authorization, and tightening interoperability mandates-factors that slow collaboration and delay care delivery. Legacy cores and siloed data restrict scalability and raise administrative burden, weakening member and patient engagement across touchpoints. Modernization therefore hinges on unified data exchange (FHIR‑based APIs), secure cloud architectures, automation, and AI‑driven insights to strengthen efficiency, compliance, and experience.
Here’s How We Can Help
Modernize Core Platforms
- Replatform legacy payer/provider estates to secure, cloud‑native architectures and expose FHIR‑based services without disrupting cores.
- Unify EHR‑adjacent and specialty systems to streamline clinical and administrative workflows and interoperability.
Deliver Seamless Digital Experiences
- Launch digital front doors-web, portals, and mobile-for simple scheduling, intake, payments, and status updates.
- Apply AI‑driven personalization and in‑journey decisioning to boost engagement for members, patients, and providers.
Accelerate Intelligent Operations
- Stand up telehealth and remote monitoring at scale with privacy‑by‑design controls and regional compliance.
- Automate prior authorization, claims, coding, and back‑office tasks using Robotic Process Automation/Intelligent Document Processing with end‑to‑end workflow orchestration.
ELEVATE Modernization Framework
ELEVATE is our end‑to‑end playbook for healthcare digital transformation—spanning assessment through optimization. It aligns platform modernization, interoperability readiness, cloud‑native architectures, regulatory compliance, automation, and AI‑powered analytics. Delivered with agile methods, secure integration patterns, and continuous monitoring, ELEVATE enables scalable, compliant solutions that improve operations and deliver connected, insight‑driven experiences for payers and providers.
Cloud‑Native Core Modernization
We modernize payer and provider cores by migrating legacy estates to cloud‑native platforms and refactoring monoliths into microservices. The result: reduced technical debt across claims, member, provider, and utilization management systems with improved scalability, interoperability, performance, and agility to meet evolving regulatory and business needs.
Telehealth & Remote Patient Monitoring Enablement
We operationalize telehealth and RPM for virtual specialty care, IoT‑enabled device integration, and hospital‑at‑home models. Integrated with digital patient access, our interoperable platforms support continuous monitoring, proactive interventions, and stronger care continuity—helping lower inpatient utilization and streamline operating costs.
Digital Workflow Management & Orchestration
We automate appeals, grievances, benefits coding, and other document‑intensive processes. Using intelligent document processing (CV/NLP) and workflow orchestration, we increase accuracy, accelerate turnaround times, ensure compliance, and scale operational efficiency across payer and provider functions.
Why Work with Tata Elxsi?
- End‑to‑end expertise across cloud, AI/ML, and automation to deliver compliant, scalable modernization programs.
- Proven delivery modernizing payer and provider platforms with FHIR/HL7 integration and ecosystem connectivity.
- Human‑centered design and engineering that simplify workflows and elevate member–patient engagement.
- Comprehensive telehealth and remote monitoring solutions enabling continuous, coordinated care across settings.
- Privacy‑first architectures, zero‑trust controls, and audit‑ready governance aligned to US/EU regulations for long‑term scalability.
Information Hub
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How does Tata Elxsi ensure interoperability and secure data exchange?
We implement healthcare interoperability solutions for providers using standards like FHIR and APIs, supported by cloud-native architectures. Our platforms enable secure, real-time data exchange across EMR, CRM, payer systems, and IoMT devices, ensuring compliance with HIPAA, GDPR, and other global regulations.
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What does digital transformation mean for payers and providers today?
Digital transformation enables modernization of legacy systems using cloud‑native architectures, interoperability frameworks, and AI‑driven insights. It enhances care coordination, streamlines operations, and improves member and patient experiences. Organizations gain real‑time data exchange, automated workflows, and scalable digital platforms aligned with global healthcare standards.
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How does this service improve member and patient experiences?
By enabling digital front doors, mobility solutions, and AI‑driven personalization, the service reduces friction across touchpoints. Self‑service tools, automated workflows, and real‑time insights enhance satisfaction and engagement, helping organizations deliver intuitive, connected, and consistent digital healthcare experiences.
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How does automation and AI improve healthcare operations?
Automation streamlines administrative processes, accelerates claims workflows, and reduces manual errors. AI enhances prediction, triage, and resource utilization while providing actionable insights. Together, they enable efficient operations with improved accuracy, cost savings, and elevated service quality across payer and provider ecosystems.
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How do telehealth and remote monitoring enhance care delivery?
Telehealth and remote monitoring extend care to homes and underserved regions. Real‑time metrics, automated alerts, and continuous monitoring support early intervention and personalized care. Scalable frameworks enable interoperability and compliance while improving accessibility, outcomes, and care continuity.
