For Benefits Administrators

Improved service, increased adoption and revenue

• Launch and start enrolling members right away. Connect automatically to several health plans to get claims and member data
• Automatically substantiate claims for Health Reimbursement, Health Savings and Flexible Spending accounts
• Proactively reimburse members for out of pocket costs or pay providers directly
• Real-time analytics & benchmarks on claim performance; identify cost drivers that allow you to address the underlying issues

Integrated Solutions

• HealthExpense provides a full set of open APIs (Application Programming Interfaces) and SDK (Software Development Kit) to seamlessly integrate with your existing systems and processes
• HealthExpense can be completely ‘white labeled’ to ensure that your member’s experience is enhanced and you are creating value for your business

Enhanced consumer experience, transparency & accountability for enrolled members

• Provide tools for members to track all medical costs automatically & take control of their healthcare spending:
  • Manage healthcare expenses, all in one place
  • Track deductibles and out of pocket payments
  • Automated bookkeeping and detailed descriptions and categorization of healthcare expenditure
  • Identify available balances and apply for reimbursements from HRA (Health Reimbursement Accounts), FSA (Flexible Spending Accounts), HSA (Health Savings Accounts)
  • Connect with administrators through ‘in-claim’ secure messaging to resolve issues
• Personalized & Proactive recommendations based on medical history
  • HealthExpense incorporates the most comprehensive rule sets for preventive and chronic condition based care
  • We constantly analyze your medical and claims data to identify the best opportunities to improve access to care based on your conditions and history
• Choose and schedule care with the best providers. Best providers and hospitals automatically ranked by cost and quality

Help enrolled employer group predict costs and provide great benefits

• Identify the major drivers of cost increases and provide benefits that help employers reward employees for making the right healthcare choices
• Precise Care Delivery - Create transparency in quality and cost information to employees to help them become more accountable about their care

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