SERVICE OFFERINGS
Claims Flow and Routing
Through our partnerships, we’ll help you get your claims from the source, to one or multiple destinations, and then back to you before we take a final look.
Repricing
Through a mixed approach to containing costs and IA, each claim is set on the right path to savings.
Review
Claims are reviewed, audited and edited based on the following factors.
(Accuracy, Cost, Coding, Unbundling/Bundling, DRG/APC and NCCI edits)
Pricing Assurance and Specialty Products
We save our customers the most Plan dollars on the highest cost claims.
Claim Cost Containment Platform
We have an engine to help you and your team do the work of containing costs for your groups and members.
Provider web
Partnerships with providers so that our members can feel safe to venture out of their primary network - should the need arise.