Self-Funded Health Plans Designed For Everyone
We take care of all the things that make your benefits work, plus some. Whether it's a self-funded or level-funded plan option, our solutions give you the ability and insight to control your costs and design a better benefit package.
What We Do
Benefit Administration
& Claim Adjudication
Benefit administration and claim adjudication are integral components of the health insurance process. Together, both play a crucial role in delivering a seamless and effective experience for both employers and members.
Premium Billing &
Consolidated Billing
Premium billing and consolidated billing contribute to a smoother financial workflow, enhancing transparency and efficiency in the administration of your health plan.
Plan Design, Consulting & Compliance
We work with you to design and monitor your plan to ensure compliance with all regulations, including but not limited to HIPAA, COBRA, ERISA, and state regulations.
Plan Analytics & Benchmarking
Advanced data for insights into your plan's performance. Examine claims data, benchmarks, risk scores, and other metrics through user-friendly, interactive dashboards. Generate reports to assess trends in cost, quality, and risk. Make informed decisions with confidence.
Cost Containment & Medical Management
Our cost containment initiatives seek to optimize healthcare expenses while maintaining the quality of medical care. Our efforts encompass an array of measures such as utilization review, disease management, and the negotiation of favorable contracts.
Reinsurance Management
We provide full support in managing your health plan, including the implementation and administration of stop-loss coverage. We help mitigate financial risks by ensuring effective coordination between the employer, healthcare providers, and stop-loss carriers.
Customizable Self-Funded Plans
We collaborate with PPO network partners in medical, pharmacy, dental, and vision plans. We can bridge the existing gaps in your plan to create a more holistic benefits package that brings enhanced value to your organization.
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Network Flexibility
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Customization
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Cost Savings