Faster claims. Less admin. Happier teams.
Automate intake and verification for quick payouts.
Cut HR effort with easy mobile claims.
Monitor every claim with real-time updates.
No forms. No phone calls. Just fast, automated claims for gap, hospital indemnity, accident and critical illness. Eligibility is verified instantly. Payments are processed without delay.
Employers and brokers get real-time dashboards with insights into claim activity, turnaround times, and savings. Members stay informed every step of the way—with full transparency and zero paperwork.
Accepts claims from any major health plan, integrating with carriers and TPAs for a hassle-free experience.
Works with all insurance carriers and TPAs, capturing both medical and pharmacy claims automatically.
Members only provide consent and basic info once—no forms or manual uploads needed after setup.
Transforms complex EOBs into plain language, showing what’s paid, owed, and how benefits apply.
Visualizes deductibles, coinsurance, and out-of-pocket max so members always know their financial responsibility.
Eligible out-of-pocket expenses are reimbursed directly to members via ACH, check, or reloadable card.
Automate intake and verification for quick payouts.
Cut HR effort with easy mobile claims.
Monitor every claim with real-time updates.
Find answers to common questions about our healthcare solutions, coverage tiers, and claims process.
Once a claim is submitted, our automated system reviews and processes it. For eligible expenses, reimbursement is sent directly to the member or provider, depending on the plan tier.
Coverage varies by tier. Claims Assist™ covers smaller out-of-pocket costs, Advocate Assist™ adds bill review and advocacy, and the full solution includes pre-payment and balance bill protection for large events.
Members can access support through our dedicated service team, who assist with claims questions, bill review, and provider coordination as needed.