Specialty Programs
A proprietary platform designed to meet your unique claims management and adjudication needs, offering unparalleled customization and efficiency.
Advanced Technology = Savings + Flexibility
We deliver tailored solutions backed by cutting-edge technology
What We Offer
- Competitive Pricing: Implementation fees are kept at cost, setting us apart from the competition.
- Real-Time, Cloud-Based Claims Management: Streamline processes with instant data access and updates.
- Immediate Payments: Payments processed directly at the point of service for faster transactions.
- Self-Service Reporting: Advanced dashboards enable multiple users to access data and insights easily.
- Effortless Customization: Upgrade or replace legacy systems painlessly with our adaptable platform.
- Instant Claims Feedback: Get real-time updates on claim approvals, denials, explanations of benefits (EOBs), and re-pricing decisions.
Strategic Partnerships
Gain access to a network of resources, including:
National Health Networks
Pharmacy Benefit Management
Telemedicine and Concierge Services
Member Support via Online and Mobile Apps
Straightforward or Custom Tailored—The Choice Is Yours
Our technology and third-party administration (TPA) services are versatile and robust, efficiently managing benefits and claims for a wide range of programs.
Comprehensive Benefits
From premium collection and payment to seamless claims adjudication and management, we provide end-to-end services.
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Data-Driven Planning
Leverage advanced data to simplify forecasting and streamline planning with insights into claims, EOBs, and re-pricing.
Who Benefits?
Our platform supports a variety of specialized programs, including:
- Dental, vision, and student care ancillary products.
- Workers’ compensation claims management.
- Reference-based pricing solutions.
- Indemnity plans for unique coverage needs.
- Association and captive structures.
- Specialty products and non-insurance offerings.
