Connected operations for health and
benefits.
From enrollment and eligibility through claims processing, billing, member servicing, and regulatory compliance, EbixEnterprise brings health and benefits operations together in one connected platform. Built for carriers, payers, TPAs, brokers, and employers.
The complexity of health benefits demands a connected platform
Health and benefits organizations manage enrollment, eligibility, plan configuration, claims adjudication, premium billing, member servicing, provider access, and regulatory compliance, often across disconnected systems.
EbixEnterprise connects these workflows so that enrollment flows into policy administration, policy feeds claims, claims connect to billing, and every stakeholder sees a unified digital experience.
Years in benefits administration technology
Built-in claims reports
Integrated platform components
Eligibility verification
Purpose-built for health and benefits complexity
Quoting & plan comparison
Side-by-side plan comparison, benefit summaries, rate displays, and guided selection for brokers, employers, and members.
Enrollment & eligibility
Automated enrollment workflows with eligibility rules, qualifying events, dependent management, and COBRA processing.
Policy & premium administration
Full policy lifecycle, premium billing, rate maintenance, commission tracking, and general ledger reconciliation.
Claims adjudication
Rule-driven auto-adjudication with intelligent exception handling, provider integration, and payment processing.
Digital member experience
Self-service for members including ID cards, EOBs, claims status, billing, documents, and secure messaging.
Analytics & reporting
Operational dashboards, utilization reporting, financial analytics, and conversational plain-language queries.
End-to-end administration from enrollment to claims settlement
A unified platform that connects enrollment, eligibility, policy administration, claims adjudication, premium billing, and member servicing, eliminating fragmented systems and reducing operational complexity for carriers, payers, and TPAs.
Simpler benefits administration and employer engagement
Streamline quoting, enrollment, eligibility, and plan management for brokers and employers. Automated workflows reduce manual effort while self-service tools keep employers and members connected to their benefits.
Quote-to-enrollment in one flow
Connected quoting through enrollment with guided plan selection and real-time rates.
Real-time eligibility and plan visibility
Instant access to eligibility status, plan details, and coverage information.
Employer self-service and reporting
Employer portals for enrollment management, billing, and operational reporting.
Member digital experience and engagement
Modern member experience with ID cards, claims, billing, and secure messaging.
Health & benefits connects to the broader platform
Modernize your health and
benefits operations
For carriers, payers, TPAs, brokers, and employers that need a connected platform across enrollment, administration, claims, and digital experience.