Claims Assist™
Fast, automated reimbursement for simple claims. Ideal for quick resolution of smaller out-of-pocket costs.
Advocate Assist™
Automoted audits and expert support for complex bills, including provider coordination and advocacy.
TOTAL Assist™
Comprehensive protection for large claims. Pre-payment, negotiation, and balance bill support reduce financial risk.
Choose the right coverage for your team. Compare features and pricing for each plan below.
From
Automated claims intake and direct reimbursement for out-of-pocket costs.
Automated claims processing
Direct member reimbursement
Simple online claims portal
No paperwork required
Fast payment turnaround
PEPM pricing model
Ideal for smaller claims
Easy setup and onboarding
From
Adds bill review, provider coordination, and advocacy for complex claims.
All Claims Assist features
Expert bill review
Provider coordination
Member advocacy support
Guidance on complex claims
Personalized assistance
Balance bill support
Transparent pricing structure
Ideal for high-cost events
Streamlined claims resolution
Enhanced member satisfaction
Clear answers for members and employers.
We negotiate and pay high-cost claims directly, lowering your out-of-pocket costs before you receive a bill.
Our solution proactively resolves claims and shields you from large, unexpected medical expenses—unlike traditional gap insurance.
Ideal for employers with self-funded or level-funded plans and their employees seeking easier claims and better protection.
Claims are automatically processed and paid to providers or reimbursed to members, reducing paperwork and delays.
Reduce out-of-pocket costs and streamline the claims process for your team with modular healthcare solutions.