Health Portal Solutions

What Health Portal Solutions does

Health Portal Solutions (HPS) is a private, US-based SaaS company founded in 2000 and headquartered in San Antonio, Texas, that builds web portal software exclusively for healthcare payers. Its core platform, the HPS Portal, is a privately branded, multi-tenant web application that consolidates data from internal systems (claims, benefits and eligibility) and third-party vendor systems (prescription benefit managers, flexible spending administrators, wellness programs) into a single sign-on experience for members, employers, brokers, and providers. The company traces its technology to a portal originally developed inside Benefit Management Administrators (BMA) in 1992, which was spun off into HPS as a separate entity around 2000 to serve the broader TPA market.

The platform is composed of a core portal plus a catalog of configurable modules: Online Enrollment (with mobile optimization, rules-based questions, document attachment, and automatic loading into benefit management systems), Analytical Reporting, Prescription Integration, Claim Submission, Pre-Authorization Submission, Appeals & Grievances, Secure Mailbox, Invoice Management, Wellness, Preventative Care Reminders, Web Forms Manager, Internationalization, and a Control Panel content management system. A sub-brand called Veriben provides login-less provider communications via Veriben Web, Veriben Fax (provider faxback), and Veriben IVR (interactive voice response). The platform meets WCAG 2.1 AA, Section 508, and HIPAA compliance requirements and provides accessibility training resources for client-uploaded documents.

HPS sells on an annual subscription basis with quote-based, custom enterprise pricing and goes to market primarily through direct enterprise sales supported by content marketing (blog, video, newsletter, demo requests). Its customer base comprises Third Party Administrators, Health Plans, International Insurance Carriers, Employers, Health Trusts, and Government Payers (Medicare/Medicaid administrators) worldwide. The company has 11-50 employees, no disclosed funding rounds, and no parent company; recent operating activity includes ongoing product module additions through 2019-2020 and continuous content publication through 2026, though no revenue or ARR figures are publicly disclosed.

Name

Health Portal Solutions

Legal name

Health Portal Solutions

Website

https://hpsglobal.net

Company type

Private

Founded year

2000

Operating status

Operating

Headcount range

11–50 employees

Short description

Health Portal Solutions is a private SaaS company that builds privately branded web portals for healthcare payers, consolidating claims, benefits, enrollment, and third-party vendor data behind a single login. It serves TPAs, health plans, international insurers, employers, health trusts, and government payers via annual subscriptions.

Ownership category

akta.pro rank

Product category

Healthcare Payer Portal Software

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (5182)

SIC

Services-Prepackaged Software (7372)

akta.pro primary industry

Patient Portals & Self-Service Access (HLACAEAA)

akta.pro secondary industry

Patient Engagement, Education & Messaging Platforms (portal/CRM integrated) (HLALABAJ)

Keywords

• Healthcare payer portals
• SaaS portal platform
• Online enrollment software
• Provider communication solutions
• Claims management software

Headquarters

HQ city

San Antonio

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Infrastructure, Operations, Marketing or Sales

Revenue model

1. SaaS Portal Subscription: Software-as-a-service web portal services with subscription-based access to the HPS platform. Includes secure hosting, 24/7 monitoring, customer support, and ongoing portal enhancements.

Pricing tiers

Distribution channels1 record

Marketing channels5 records

Core offering

Health Portal Solutions builds and operates a private-labeled, web-based SaaS portal platform for healthcare payers. The platform consolidates data from multiple internal systems and third-party vendor systems (claims, benefits, eligibility, wellness, prescription benefit managers) into a single branded login, and layers on integrated business tools for online enrollment, claim management, secure communications, reporting, and member/employer/provider self-service.

Product overview

Health Portal Solutions offers a unified portal platform with multiple integrated modules for healthcare payers. The core HPS Portal serves as the central hub, consolidating data from various internal and third-party systems into a single, privately-branded interface. The platform includes HPS Online Enrollment for automated eligibility management, the Veriben suite (Web, Fax, IVR) for provider communications, and specialized modules for claims management, analytical reporting, prescription integration, and user engagement. The architecture combines the core portal with purpose-built add-on modules that can be configured without software development, supporting over 30 customization options. The company focuses exclusively on portal technology, serving Third Party Administrators, Health Plans, International Insurance Carriers, Government Payers, Employers, and Health Trusts worldwide.

Differentiator

Problem solved

Functional benefit

Brands

• Veriben: Provider Communication Solutions - A product line providing login-less provider claim and eligibility verification, provider faxback solutions (Veriben Fax), and interactive voice response (Veriben IVR) for healthcare payers to streamline provider communications.

Products and services

• HPS Portal Private-labeled, integrated web portal platform for healthcare payers that consolidates data from multiple internal systems and third-party vendor systems (claims, benefits, eligibility, wellness, PBM) behind a single branded login for members, employers, brokers, and providers.
• HPS Online Enrollment Automated online enrollment workflow that enables healthcare payers to collect eligibility details electronically, streamline enrollment processing, and transmit approved enrollments to benefit management systems. Includes mobile optimization, document attachment, targeted enrollment experiences, and enrollment notifications.
• Veriben Web Login-less provider communication solution that lets healthcare providers check claim and eligibility status without portal login credentials, reducing inbound call volume to payer call centers.
• Veriben Fax Provider Faxback solution allowing providers to call a toll-free number and request faxed claim status or eligibility information, preventing basic inquiries from reaching payer call centers.
• Veriben IVR Interactive Voice Response system for automated provider communications, handling basic claim and eligibility questions through telephone-based self-service.
• HPS Secure Mailbox Secure messaging communication tool that enables payers to engage users in the portal, answer questions more quickly, reduce call volumes, and boost customer service reputation through encrypted correspondence.
• HPS Claim Submission Online claim submission tool that automates claim intake, enabling payers to be more responsive and process claims more efficiently through digital workflows.
• HPS Pre-Authorization Submission Automated pre-authorization workflow that enables payers to facilitate and manage authorization requests online, expediting the process for specialty drugs and other authorization-required services.
• HPS Analytical Reporting Reporting and business analysis tool that consolidates disparate data from multiple sources into unified reports, enabling payers, employers, and brokers to track, analyze, and manage health plan data from a single interface.
• HPS Prescription Integration Integration solution that pulls prescription data from pharmacy benefit managers into the portal, allowing users to access prescription information without logging into multiple RX portals.
• HPS Appeals & Grievances Workflow management tool for handling member appeals and grievances, providing over 30 ways to customize the portal without additional fees or IT involvement.
• HPS Invoice Management Invoice document and communication management tool that organizes invoice-related activities within the portal, reducing manual invoicing efforts and centralizing billing communications.
• HPS Wellness Health and wellness program consolidation tool that brings wellness programs into the portal, making access easier for members and engagement simpler for payers.
• HPS Internationalization Multilingual service and internationalization capability that enables payers to provide flexible, multilingual service and proactively meet the needs of a global customer base.
• HPS Web Forms Manager Web forms management tool for creating and managing custom forms within the portal for various data collection and workflow needs.
• HPS Control Panel Content management and portal control interface that enables non-technical staff to manage portal content, post announcements, upload documents, and control branding elements without software development.
• HPS Preventative Care Reminders Automated reminder system for preventative care notifications, helping payers engage members and improve health outcomes through targeted care reminders.

Quantifiable outcome

• Reduce invoice distribution time by 50%
• +2 more outcomes

Named customers1 record

Segments6 records

Ideal customer profiles6 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration7 records

Feature10 records

Scale indicators4 records

Recent moves5 records

Expansion highlights4 records

Direct peers

• PlanSource: Cloud-based benefits administration and shopping experience for employers and payers, with branded portals, enrollment, and vendor integrations — a direct competitor in payer/employer self-funded benefits portals.
• Benefitfocus: Benefits administration platform serving payers, employers, and health plans with consumer-style enrollment, decision support, and member portals — directly comparable to HPS's enrollment and self-service portal capabilities for employer/payer clients.
• bswift: Benefits administration and enrollment SaaS for employers and payers, offering private-branded portals and integration with PBMs, FSA, and carrier systems — directly overlaps with HPS's online enrollment, prescription integration, and private-branded portal play.

Broad incumbents

• Zelis: Healthcare technology vendor serving payers with payments optimization, network management, and member/provider engagement portals; comparable buyer (payers/TPAs) with overlapping member engagement functionality.
• HealthEdge: Provides end-to-end payer core administration (HealthRules) plus a member engagement/portal layer; competes as a broader suite that includes the portal functionality HPS offers as its core product.
• Microsoft Cloud for Healthcare: Microsoft's healthcare vertical offering bundles Teams, Dynamics, and Azure for member/patient portals and payer-provider collaboration; a horizontal incumbent that competes for payer portal RFPs against purpose-built vendors like HPS.
• Salesforce Health Cloud: Horizontal CRM with a healthcare-specific member engagement, provider, and care-management portal; competes for the same payer IT wallet and offers a private-branded portal experience that overlaps with HPS's core offering.

Emerging players

• Health Catalyst: Payer and provider analytics and data platform increasingly layered with member engagement views; competes at the analytics/reporting layer that HPS also serves with its Analytical Reporting and Consolidated Reporting modules.

Regional players

• Wipro (Healthcare Payer Services): Global IT services vendor with payer portal implementation offerings; competes for the same payer IT engagements HPS serves, particularly for international carriers and large payer transformation projects.
• Infosys (Healthcare Payer Solutions): Global IT services and platform vendor offering payer portal and member engagement solutions; comparable to HPS's enterprise sales motion into international insurance carriers and government payers.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• YouTubeyoutube.com/@HealthPortalSolutions
• LinkedInlinkedin.com/company/health-portal-solutions---powered-by-tpabenefits-inc

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Health Portal Solutions