We are excited to announce that we have joined Tegria! Learn More INDUSTRY SOLUTIONS CAREERS ABOUT US NEWS & EVENTS CONTACT PAYER AND GOVERNMENT Payer Services We understand the unique challenges faced by regional health plans, provider-owned health plans and large national payers, as well as federal, state and local government agencies. Under the demands of new care and payment models, these organizations require robust technology solutions in order to effectively and efficiently deliver quality services to their customers, members and clients. From advisory consulting to technology services, we help our clients adapt their business processes and implement technology solutions to thrive in the changing healthcare landscape. We have extensive technical and operational experience with mainstream core claims, benefits administration, population health and care management systems. We help clients select and implement new systems, and we also facilitate training for end users. Following go-live, we offer maintenance, ongoing support and IT staff augmentation services. We also offer comprehensive optimization services focused on the areas of BI/Analytics, population health, care management, assessments and performance improvement to help you maximize the value of your IT investment. Our Services Advisory Consulting Technology Services Agile Services Government Services Featured Services HealthEdge A HealthEdge partner since 2008, we have successfully led HealthRules implementations, integrations and various projects for health plans, government agencies and payers nationwide. Download now QNXT Our consultants are certified on the QCSI QMACS product and have worked on implementations, upgrades and other projects throughout QNXT product history. Download now Facets On average, our consultants have more than 10 years of Facets experience and have been working on Facets projects since the system was introduced in 2001. Download now System Expertise TriZetto (QNXT, Facets, etc.) HealthEdge (HealthRules) DST (AMISYS, PowerMHC, PowerMHS) Monument/HealthTrio HP/EDS (MetaVance) ikaSystems (ikaClaims, etc.) Cerner (HealtheIntent) McKesson (ClaimCheck, ClaimsXten) Perot/Dell (Diamond, Excellus) Plexis (ClaimsManager, Quantum Choice) RAM Technologies (eHEALTHsuite) Epic (Healthy Planet Constellation, Tapestry) Others Payer Overview Strategic Advisory Consulting Agile Services Interoperability Solutions Claims and Admin Systems Care Management Government Services Our Payer Services Learn about Cumberland's services for regional health plans, provider-owned health plans and national payers. DOWNLOAD System Selection and Implementation Planning Read about how Cumberland can help your health plan select and implement the right solution for your business and IT needs. DOWNLOAD Take QNXT to the Next Level Learn more about how our consultants can help you drive efficiencies, improve performance and maximize the return on your TriZetto QNXT investment. DOWNLOAD Proven TriZetto Facets Experience Read about how Cumberland can help you implement, extend and support your Facets solution. DOWNLOAD Maximize Your HealthEdge Investment Learn more about our system expertise and services to support the HealthRules product suite. DOWNLOAD 2550 Meridian Blvd. | Suite 200 | Franklin, TN 37067 | Tel: (615) 373-4470 ©2021 Cumberland | Privacy Policy