HEALTH CLAIMS MANAGEMENT

Health Claims Management

HealthKeys has developed a process to manage an employer’s health claims. The comprehensive approach includes:

  • Proprietary Engagement/Communications Platform
  • Integration with any data analytics tool
  • Integration with any Cost Containment Programs (pay less for current claims)
  • Health Risk Management (avoid future claims)

  • All results are verified and measured

 

Flexible 6 Step Process

Step 1: Conduct a Feasibility Study-We identify specific savings from cost containment products

Step 2: Establish our Engagement/Communications Platform

Step 3: Integrate Data Analytics tool with Engagement/Communications Platform

                  Use claim data to identify “health risk” opportunities, and measure results

Step 4: Select appropriate cost containment products

Step 5: Develop a coordinated Incentive and communication strategy to increase engagement in the Cost Containment products and Health Risk                                     Management Program

Step 6 : Measure Results

 

Opens Doors to New Business

Our Health Claims management process will answer every self-funded prospect’s first question “how will you drive down my health insurance cost”? This puts sales consultants in a position to compete and earn new business by resolving a big problem!

  • Our Feasibility Study identifies specific medical and Rx savings in their current utilization patterns
  • With average savings of $125,000/100 employees, the C-suite will want to learn more!

  • We share savings with employees which creates a great employee benefit and a win/win scenario