Claims Administration

We are our own claims payor. Claims administration is performed in-house for faster, more responsive service.

Claims paid in-house, never outsourced

The claims process can be both complex and cumbersome. Unlike others in our space, we do not outsource it. As a licensed third-party administrator, we adjudicate and pay claims for our own plans in-house, which means fewer hand-offs, faster turn-around, and a claims team our carrier partners, employers and members can reach directly.

Our services include

Dedicated claims representative
Total claims management
Multi-step claims review for best possible savings
Automated PPO routing and repricing
7–10 business days

Typical claims turn-around time

99%

Payment accuracy