Modern benefits administration for health plans
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Health plans need more than another claims system
Lower healthcare costs through transparent pricing, integrated data, and more efficient plan administration.
Drive better outcomes through connected data, earlier interventions, and coordinated care.
Stay ahead of changing requirements with modern infrastructure and streamlined reporting.
Create a simpler, more connected healthcare experience for every member.
Unified Claims Processing™ changes everything
Judi Health brings medical and pharmacy administration together using Unified Claims Processing™.
Instead of managing separate systems, health plans gain a single environment for:
Built on one platform.
Delivered through three solutions.
Judi Cloud enables health plans to modernize core operations with a cloud-native platform that unifies claims processing, benefits administration, reporting, and payments on a single system of record.
Judi Care helps health plans streamline medical, dental, and vision administration, improve claims accuracy, simplify operations, and deliver better experiences for members and providers.
Judi Rx helps health plans reduce pharmacy spend, improve cost transparency, and gain a complete view of healthcare utilization through integrated pharmacy and medical data.
Built for growth
Judi is far more efficient, configurable, and scalable than legacy systems - giving health plans a better way to manage pharmacy and medical benefit administration.
Better Claims Accuracy
Fewer systems mean fewer opportunities for errors.
Better Visibility
Access complete medical and pharmacy insights from one source of truth.
Better Decision-Making
Understand total cost of care across the entire member journey.
Better Member Experiences
Deliver coordinated benefits instead of disconnected programs.
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Why health plans choose Judi Health
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Don’t take our word for it
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FAQ
Frequently asked questions
What solutions does Judi Health offer for health plans?
Health plans can work with Judi Health in different ways depending on what they need.
Judi Cloud™ provides the underlying core administrative technology for health plans looking to modernize their infrastructure, while Judi Care™ provides medical, dental, and vision benefits administration. Both are powered by Judi®, our enterprise health platform.
What is the difference between Judi Cloud and Judi Care?
Judi Cloud is our licensed SaaS solution for health plans that want to operate their own benefits administration on modern core technology.
Judi Care is our health benefits administration solution, supporting functions such as medical, dental, and vision claims administration, eligibility and benefits management, reporting, member service, and care navigation.
Can Judi Cloud replace a legacy core administrative processing system (CAPS)?
Yes. Judi Cloud is a cloud-native core administrative processing system designed to replace fragmented legacy infrastructure.
It brings capabilities including eligibility, plan configuration, claims adjudication, payments, reporting, and care navigation onto a unified platform, giving health plans greater flexibility and control over their operations.
How can Judi Health help reduce complexity for health plans?
Judi’s platform brings traditionally disconnected functions and data onto a more unified technology foundation.
With Judi Cloud, health plans can reduce dependence on fragmented systems and point solutions; with Judi Care, they can bring medical, dental, and vision administration into a more unified operating structure.
Can Judi Health support both medical and pharmacy benefits?
Yes. Judi Health supports pharmacy benefits through Judi Rx™ and medical, dental, and vision administration through Judi Care, with both operating on the Judi platform.
This provides the foundation for more connected medical and pharmacy data, reporting, care navigation, and member experiences.