Welcome

Accurate processing of a claim is the core of a TPA/ASO. This starts with having the ability to manage complex benefit designs. Our partners at QuickCap make this process seamless to our clients

You are only as good as your network of providers and health facilities. If the network has utilization irregularities or gaps in access to care, you will struggle to contain cost. We provide comprehensive quarterly reviews with trended results. Additionally, we can implement procedures for recertification review and provide medical director-driven recommendations for approvals and denials.

Population Health is integral in the success of managing high-risk and medium-risk patients. Using claims data, PBM processing, monitoring events (HIE), we are able to profile potential risk, predict costs and work collaboratively with our clients to design a risk mitigation plan custom to your needs

Have a question about benefits? Concerned about your deductible? Simple login through the app and you can get answers. This service allows for better member satisfaction while also reducing administrative cost to the plan or payor

While we work with clearing houses which are conduits to the practice management/EHR platforms, billing and enrollment staff often want direct access to solve member issues. We monitor the provider portals 24/7 for near real-time responses to provider needs. We can provide real-time responses to admission requests, ER diversion, access to network inpatient services and so much more. This is vital to cost containment

As the same with the above items we also support our clients with real-time phone support 24/7. Whether it's access to a nurse case manager or redirection to online telehealth or EAP services, we have an integrated solution that drives satisfaction