Health Claims Management
Disrupting the status quo
Health Claims Management is a new, comprehensive approach for self-funded employers to reduce health claims cost, without changing claim payors or shifting cost to employees. Our Service Platform allows us to integrate, communicate and measure claims avoidance and hard dollar savings solutions from a single location, creating a great value and a customized Health Claims Management program
EMPLOYERS
- Move beyond traditional wellness programs
- Claim avoidance and hard
dollar savings products
- A single platform coordinates all services
- All results are measured based on claims data
- Data Analytics/Predictive Modeling to the member level
- Communications Portal provides a single location to access products, administer incentives and communicate with employees
- Care managers work with members to navigate our complicated health care system.
BENEFIT ADVISORS
- Differentiate your agency
- Offer “next generation” Health Claims Consulting
- Full access to data analytics
- We build the platform, you add the products
Managing claims cost requires a coordinated effort between employees and the employer. Employees should expect support and access to products that reduce or eliminate their out of pocket expense, and employers should expect lower claims cost with measurable results.
Our primary focus is to help employees and their families make informed decisions on how to take dollars out of the complicated health care system, and put them into their own pockets!
