1
Claim event
A member receives care and a claim is generated through the underlying plan.
Claims + advocacy
Claims support that starts simple and scales when members need more.
Claims Assist streamlines intake and reimbursement for eligible out-of-pocket expenses. Advocate Assist adds bill review, provider coordination, and member support when claims become more complex.
Automated intake
Direct reimbursement
Member advocacy
Employer-friendly implementation
Two levels of support, one clear member experience.
Start with automated claims reimbursement, then add advocacy when bills need review, coordination, or resolution.
Why this matters
Before support, a normal claim can become a bigger member problem.
Even when care and claim processing start normally, the path can still move into billing confusion, missed discounts, and higher out-of-pocket costs.
2
Bill
A bill arrives before the member fully understands what was paid, owed, or still in process.
3
Confusion
Statements, EOBs, and next steps become harder to reconcile without added guidance.
4
Overpayment
Missed discounts or unresolved balances can drive higher out-of-pocket costs.
How it works
A clear path from claim event to resolution.
The experience begins with automated intake. When a claim turns into a larger billing issue, advocacy can step in without changing the member journey.
1
Claim event
A member receives care and a claim is generated through the underlying plan.
2
Claims Assist
Eligible claims are captured, validated, and prepared for direct reimbursement with minimal member effort.
3
Advocate Assist
When bills are confusing or high-cost, advocacy helps review, coordinate, and resolve the situation.
4
Member resolution
The member sees a clearer outcome, lower friction, and a faster path to payment or next steps.
Claims Assist™
Automated intake and direct reimbursement.
Designed for routine out-of-pocket expenses, Claims Assist reduces paperwork, shortens turnaround time, and makes the reimbursement experience easier for both members and employers.
- Simple online or integrated claims intake with less manual effort for members.
- Direct member reimbursement for eligible claims.
- Cleaner visibility into claim activity and turnaround.
- Strong fit for groups that want a straightforward, lower-friction starting point.
Advocate Assist™
Added bill review, coordination, and member support.
Advocate Assist builds on Claims Assist by helping members navigate more complex claims, confusing bills, and provider issues that need a human touch.
- Includes Claims Assist capabilities as the foundation.
- Bill review and guidance when statements do not line up cleanly.
- Provider coordination and support for more complex situations.
- Better fit for employers that want stronger member support and higher-touch resolution.
Compare options
Choose the right level of support.
Start with automated reimbursement, add advocacy when higher-touch support is needed, or step up to BeneBridge360 Plus for a more complete member solution.
Claims Assist™
Automated claims intake and direct reimbursement for eligible out-of-pocket expenses.
- Automated claim processing
- Direct member reimbursement
- Simple setup and onboarding
- Best for routine claims support
Advocate Assist™
Adds bill review, provider coordination, and advocacy for more complex claims.
- Includes all Claims Assist features
- Expert bill review and issue resolution
- Provider coordination and member guidance
- Best for higher-cost or higher-friction events
Most selected
BeneBridge360 Plus
A more complete approach for employers that want broader savings, advocacy, and payment support.
- Advocacy plus built-in savings support
- Flexible payment pathways for remaining balances
- Works across different deployment models
- Best for employers seeking a more complete member experience
Frequently asked questions
Answers that remove the guesswork.
Quick answers for brokers and employers evaluating Claims Assist and Advocate Assist.
Do members need to fill out paperwork for every claim?
Claims Assist is designed to reduce manual effort. Intake can be streamlined through online and integrated workflows so the member experience is simpler than a traditional reimbursement process.
When should an employer choose Advocate Assist instead of Claims Assist alone?
Claims Assist works well for more straightforward reimbursement support. Advocate Assist is the better fit when employers want help with larger, more confusing, or more sensitive billing situations that benefit from bill review and coordination.
How does this relate to BeneBridge360 Plus?
Claims Assist and Advocate Assist represent the core reimbursement and advocacy path. BeneBridge360 Plus extends that foundation with a broader savings and payment experience for employers that want a more complete solution.
Ready to compare Claims Assist, Advocate Assist, and BeneBridge360 Plus?
We can help you match the right solution to your group, plan structure, and member support goals.