Our Health Claims Management platform is a strategic solution built for CFOs and benefit advisors seeking greater control over the rising costs of their self‑funded health plans. The platform integrates seamlessly with a broad ecosystem of cost‑containment resources—including cash‑pay programs, direct primary care, pharmacy optimization tools, physician quality and selection solutions, transparency tools, data analytics tool, disease management, and early detection programs.

The Platform allows us to coordinate Claims Management (cost containment products) and Health Risk Management (wellness + disease management + early detection+ ANY DATA ANALYTICS TOOL) into a single location

Engagement in Cost Containment and Risk Management products has been poor. Our Platform is designed to improve engagement in  Health Claims Management programs in two ways:

• Improve employee health claims literacy. Show participants what we are doing and why, and how they benefit from the program.
• Coordinate incentive management and secure communication across all products and services to help nudge employees in the right direction.

We can work with any Cost Containment or Health Risk Management solution offered by the Benefit Advisor or claim payor, or we can use our vetted solutions. We have narrowed potential solutions by asking vendors to answer two simple questions:

• How do you drive down claim costs?
• How do we measure results?

The siloed nature of the claims management products, and the poor engagement in them, has created uncertainty among all stakeholders. Our Platform resolves these issues while creating a new consulting deliverable for Benefit Advisors we call Health Claims Management.