CHANGE THE GAME

for your people.

 

The game is rigged to make you and your people pay more.

With (me)SELF-FUNDED BENEFITS, we act as an advocate for your people and your organization to help navigate the system, negotiate fair market pricing and review claims for errors. (BTW…Did you know that 80% of medical claims have an error?)

 

These are real prices that we’ve seen come through on medical claims. Pretty gross, right?
Yeah, that’s why we refused to pay them and instead negotiated a much more reasonable price.

Helping employees learn the new way to play.

The healthcare system is complicated, but we never let employees battle it alone. We provide employees with just one number to call when they need guidance, authorization or help getting a claim paid. By offering the support of one empathetic person to contact until their issue is resolved ensures the comfort they deserve. We also equip them with the best technology for 24/7 access to their benefits at-a-glance.

mBENEFITS™ Mobile App

Our people can access all of their benefits information anytime, anywhere with our online mobile app available in the Apple App Store and Android Google Play Store.

Customer Advocates

Our customer advocates provide empathy and support when members need it most, whether it’s help getting a claim paid or guidance during a medical engagement.

My Benefits™ Web Portal

Responsive and user-friendly, our web portal makes it easy for employees to manage benefits, such as viewing their claims history or medical expenses summary.

“We’ve got your back” service.

We treat your people like they’re our own. From the moment we set up your plan, our goal is to provide you and your employees with flexibility and cost savings.

    • Claims adjudication (electronic filing and run in/run out)
    • Enrollment and eligibility verification
    • Surcharge administration
    • Member communication and materials
    • Consolidated billing
    • Licensed call center
    • Price and quality transparency through Healthcare Bluebook
    • Telehealth through Teledoc
    • HIPAA and other compliance services
    • And more

Game-changing in-house care management.

The best type of claim is one that never happens. Using a holistic approach our continuum of care solution, HEALTHY(me)™, reduces healthcare complexity, empowers employees and controls costs.

  • Wellness programs that focus on all aspects of health – physical, mental and financial
  • Intrinsic nurse coaching that treat the whole member for a personalized experience
  • Engagement strategies that provide early intervention and maximize results through the use of dynamic data-analytic technology