Our financial suite of products provides cost stability and peace of mind so organizations know that their employees are covered and their bottom line is protected.
Stop Loss Center of Excellence: Self-funded employers are accepting an increased amount of risk, including liability for higher-than-expected claims that result from unexpected illnesses or costly treatments. Stop Loss insurance provides a safety net against catastrophic claims. With our Stop Loss product, settling claims is easier and more efficient as claims are processed in accordance with your medical plan.
Network Discount Shared Savings: This alternative to traditional Administrative Services Organization (ASO) financing options provides flexibility and the potential for savings on administrative fees. Supported by our robust suite of plans and enhancements, this arrangement offers lower fixed administrative fees in exchange for sharing a small percentage of the claims savings based on our provider discounts.
MultiPlan: We can negotiate a lower price for out-of-network services through our collaboration with MultiPlan, a third-party vendor.
Advanced Payment Review: By combining skilled resources, best-in-class vendors and advanced technology, Advanced Payment Review delivers deeper cost savings than our standard payment integrity capabilities. Cost savings are achieved through:
Advanced technology that includes machine learning to find additional savings
Both best-in-class payment integrity vendors and enhanced internal tools
Certified coders and clinical technicians to identify inaccurate claims billing
Identity Protection: Experian, an independent company, protects member identity and complements the health plan security and data protection currently in place.
