Elevating Efficiency, Delivering Excellence

Take a comprehensive approach to lowering claim costs and safeguarding participants from balance billing. Our solutions include claims review and editing, error identification, and expert recommendations on claim payments and trends.

Streamline payment delivery with our fast and reliable solutions, simplifying reconciliation, reducing costs, and satisfying providers by accommodating their preferred payment methods. Accessible payment data enhances efficiency.

We empower clients to manage their consumer-driven healthcare accounts and cut expenses. Our tools assist participants in handling reimbursement accounts effectively.

Keep health funds up to date by verifying dependent eligibility and identifying ineligible dependents. Our audit solutions result in cost savings for the client fund and its participants.

Experience effective cost management with our specialized services, including financial case management for select specialty drugs, products, and procedures. This program helps reduce costs for both clients and their participants. 

Empower participants with 24/7 access to healthcare for non-emergency conditions, connecting them to board-certified professionals via phone, video, or app.

Provide personalized outreach for plan participants dealing with musculoskeletal issues, complementing our MSK Chronic Pain Management program for optimal support.

Deliver virtual chronic care for musculoskeletal pain, seamlessly connecting plan participants with providers. Combine with MSK Navigation and Advocacy for a comprehensive approach.

Simplify healthcare spending with our user-friendly platforms, meeting Transparency in Coverage (TinC) requirements effortlessly for better control over expenditures.

Mitigate risks with our HIPAA-qualified team, assisting covered entities in meeting HIPAA responsibilities. Tailored services support health and welfare plans, ensuring HIPAA Privacy and Security compliance.

Minimize high-dollar medical drug spend with no disruption to members with our J-code Medical Drug Rebate Program. Reduce the cost of medical spend through the identification of drugs eligible for manufacturer rebates often overlooked and unused.