Claims Processing

Modernize your claims systems

Offering system technology and business operations to deliver sustainable programs.

Maximus Canada's innovative solutions transform aging medical and pharmaceutical claims payment systems to provide flexibility for new payment options and programs.

With an integrated approach, we deliver efficient claims enrolment, adjudication and payments for both the public and providers.

  • Medigent® integrated commercial-off-the-shelf (COTS) software product suite
  • System development, implementation and integration
  • Full requirements and test management services
  • Automated testing
  • Ongoing system maintenance and enhancement

Claims operations feature:

  • Managing the day-to-day operation of the claims system in production
  • Claims adjudication services
  • Omni-channel contact centres
  • Weekly payments processing
  • Conformance testing services
  • Document management operations
  • Program information
  • Help desk services