Revolutionizing gap benefits for a seamless healthcare experience
Discover a smarter way to manage healthcare costs with proactive solutions that simplify the claims process and reduce stress—for both employees and employers.
We plug in behind the scenes and respect carrier/provider contracts—focusing on errors, out‑of‑network, and member responsibility so savings are real and member experience improves.
Why carriers partner
Lift & persistency
Members keep coverage when they get proactive guidance and discounts that actually land at the bill.
Service deflection
We absorb billing confusion before it reaches your GA or call center and resolve issues directly with providers.
Contract‑friendly savings
We focus on errors, out‑of‑network, and member responsibility—while respecting carrier/provider contracts.
Why GAs win
Instant differentiation
A better member experience attached to the same programs you already sell.
Frictionless rollout
No new forms for members. No changes to carrier adjudication. We plug in behind the scenes.
Co‑branded assets
Provider‑ready walkthroughs, one‑pagers, and email templates your brokers can use tomorrow.
Programs we power
Compatible with indemnity, gap, MEC, and HDHP designs from leading carriers.
See how we make gap & hospital indemnity stickier—in 20 minutes.
A quick tour of the member experience, claim detection, auditing, and provider negotiation — and how we plug in behind the scenes without changing your adjudication.
- White‑label communications and proactive alerts
- Every claim audited; errors & OON targeted
- Contract‑friendly savings and clear member guidance
Integration at a Glance
Data We Use
- Enrollment roster
- Claim event feed or post‑adjudication notices
- Optional 835/837 data for deeper automation
Branding
- White‑label or co‑branded assets
- Customizable messaging to match your voice
- Member experience reflects carrier/GA brand
Member Experience
- Proactive alerts & guided bill resolution
- We respect carrier/provider contracts
- Focus on errors, out-of-network, and member costs
Security & Compliance
- HIPAA‑aligned workflows
- BAA executed as needed
- Secure data exchange & storage
Outcomes that matter
Fewer escalations
Billing questions deflected from carrier/GA support to our advocacy team.
Member satisfaction
Clear guidance and faster resolution drive positive feedback and retention.
Contract‑friendly savings
Audits and negotiated reductions focused on errors, OON, and patient responsibility.