Alternatives to Collective Health

NextAgency is an agent management system that includes CRM and commission management tools. It can be used by life, senior, and health insurance agencies. NextAgency helps you save time, money, and clients. * Increase sales with powerful CRM tools to track prospects, from lead to sale * Focus your team by sharing notes and tasks that are compatible with your calendar. * Improve customer service through our workflows and customer services reports * Maintain commitments by using follow-up tools such as personal to-do lists that you can share with your entire team Our online agency library allows you to access the forms and files whenever and wherever you need them. * Automatically assign your email addresses to your prospects or clients. * Track your commissions and get reports to show you what you have earned NextAgency is simple to use and easy to customize. Get a free trial.

Genius Avenue powers the insurance industry with innovative platform solutions and custom capabilities that connect products to customers and increase bottom line. Insurance Carriers With a team of insurance professionals, go beyond the software. Voluntary Benefits End-to-end customizable capabilities that simplify operations and drive sales. Brokers Get payroll benefits and streamline enrollment and administration. Captives Carriers Eliminate outdated systems and optimize enrollment. We assist our partners in expanding markets, simplifying enrollment and administration, optimizing business processes, and unlocking the full potential of customer-centric, digital platforms.

Novo Connection revolutionizes the process of obtaining self-insured health insurance quotes, allowing it to be accomplished in mere minutes rather than enduring a lengthy wait of days. This innovative platform enables advisors to easily explore various self-funding strategies, assess the unique risks of a group, tailor plan designs and elements, and secure competitive stop-loss coverage that aligns with those designs. By removing the uncertainty involved in selecting program components, we streamline the decision-making process. Each vendor featured on our platform has undergone a comprehensive vetting process conducted by industry specialists, guaranteeing you receive top-notch quality and service. Utilizing Novo Connection not only enhances efficiency by saving you precious time but also translates to significant financial savings. Our pre-negotiated vendor rates ensure considerable cost reductions on a range of offerings, from stop-loss coverage to bespoke program solutions. With Novo Connection, you can confidently navigate your health insurance options while enjoying peace of mind and financial benefits.

Introducing Maestro Health, a technologically advanced third-party administrator (TPA) specializing in employee health and benefits. We collaborate with employers and their trusted advisors to create health and benefits solutions that prioritize what is truly important—people. Through a self-funded health plan, employers directly cover their members' healthcare costs rather than relying on an insurance carrier. This approach encompasses paying claims, establishing networks, implementing repricing strategies, and assuming the risk associated with their plan design. By opting for self-funded benefits, employers can tailor health plans to meet the unique needs of their workforce. Our innovative solutions aim to reduce costs while enhancing health outcomes, all without compromising on benefits. At Maestro Health, we are committed to simplifying employee health and benefits, ensuring that the process is straightforward and accessible. With our expertise, employers can focus on what matters most—their employees' well-being.

Eliminate your dependence on carrier discounts by utilizing Handl Health's robust data analytics platform, Iris. This tool allows you to assess networks using contracted rates and gauge the potential disruption risks associated with transitioning your clients or prospects to different plans. Choosing the right network is merely the initial phase; it's essential to delve deeper to customize plans centered around top-performing providers and integrate these valuable insights into member tools, facilitating the easiest decision-making process when seeking care. Our solutions are meticulously crafted to empower benefits consultants in attracting and converting more leads, improving client retention, and meeting cost-saving goals. Furthermore, we advocate for health plans, including insurance carriers and self-funded employers, to openly disclose a machine-readable file containing all negotiated rates, while also providing members with online resources to explore care options and comprehend their out-of-pocket expenses, ultimately enhancing their overall experience. This approach not only promotes transparency but also fosters a more informed consumer base in the healthcare landscape.

A healthier workforce translates to improved profitability for your business. This is why we collaborate with innovative organizations to provide an exceptional healthcare experience that effectively reduces expenses. Gain control over your healthcare expenditures through a tailored self-funded solution that leverages data insights, expert guidance, and is specifically designed for your needs. Discover additional savings opportunities beyond standard network discounts by utilizing proactive and independent claims analysis. Create a seamless benefits experience that actively assists employees in locating high-quality care. Our team of case managers and health coaches works diligently and empathetically with staff to enhance both financial and clinical outcomes. With user-friendly dashboards designed for modern employers, you can effortlessly view every detail and implement updates. From clinical outreach to financial optimization, as well as advocacy and analytics, we are designed to manage every facet of health plan administration without the need for outsourcing, ensuring you receive the highest level of service and support. By prioritizing your employees' health, you're not just investing in their well-being; you're also investing in the future success of your company.

eHealthApp allows brokers and consultants to stand out by efficiently collecting health information. The broker can use the collected information to obtain health underwritten quotations and allow the broker to analyze it to determine the best fit for their group clients. TPA's, GA and Carriers can sponsor eHealthApp brokers in a way that does not hurt the competition, increases underwriting accuracy and makes products more widely accessible. Contact us today to request a demo and learn more about eHealthApp.

Healthcare.gov has made it easier for HealthSherpa to enroll in Affordable Care Act plans. We work with employers, insurers, agents, nonprofits, and consumers to help them enroll as many people as they can in these comprehensive, subsidy-eligible health plans. We power insurance companies' websites so they can enroll people in Affordable Care Act plans. We offer superior enrollment technology, a CRM and communication tools for insurance agents so they can enroll more clients in plans that are right for them, faster. We have over 40,000 agents using our platform. We offer decision support tools for consumers to help them choose the right plan for their healthcare needs. HealthSherpa has more than 5,000,000 consumers enrolled in coverage. We offer all the same plans, prices and benefits as HealthCare.gov.

USSI takes pride in showcasing its complete range of professional insurance software solutions, crafted as a comprehensive turnkey administration package. These all-inclusive software offerings are designed to guarantee that your insurance firm functions at peak performance in a rapidly evolving and competitive industry landscape. The InsurancePlus Individual Life and Health Administration software from USSI effectively oversees the management of business portfolios for both traditional and innovative Life and Health insurance providers. This solution accommodates various product lines such as Whole Life, Term Life, Interest Sensitive policies, Final Expense plans, Annuities, and Supplemental Health insurance. Additionally, USSI's InsurancePlus Group Life and Health Administration software efficiently manages portfolios for Group Health insurance companies, Self-Insured Funds, and Third-Party Administrators (TPAs), supporting a diverse range of plan options like Point of Service, Major Medical, Term Life, High Deductible, and Traditional Indemnity plans. With such a wide array of features, USSI ensures that its software solutions are versatile and adaptable to meet the unique needs of every client in the insurance sector.

Innovative new Health Reimbursement Arrangements (HRAs) streamline the health insurance provision process, offering you reassurance and simplicity. Wave goodbye to the complexities of traditional group plans. To initiate, simply respond to a few questions regarding your preferences for the HRA's functionality. You can rest easy knowing our platform will assist you every step of the way, empowering you to tailor your plan to your needs. After finalizing your HRA design, we will handle all legal obligations and ensure your employees are integrated into our system smoothly. Once everything is set up, our team will assist you in managing the claims process efficiently. Each day, we strive to foster a healthcare system that prioritizes your peace of mind, as we firmly believe that everyone deserves a more straightforward approach to health insurance. By prioritizing clarity and simplicity, we aim to enhance your overall experience with health benefits.

Our health benefits platform enables employers to allocate a monthly budget for employee healthcare, empowering members to select their own personal healthcare plans. The Remodel Health software is crafted to blend effortlessly with our existing processes, offering employers and their teams an intuitive dashboard that facilitates engagement, connection, and evaluation of healthcare choices. This innovative solution not only aids employers in determining a monthly allowance for their employees' health plans but also provides an opportunity to optimize costs while ensuring team wellbeing. Users can easily switch between the WageUp™ and individual coverage HRAs (ICHRA) calculator modes to assess potential savings effectively, making informed decisions for their healthcare needs. Ultimately, Remodel Health supports a more personalized and cost-effective approach to employee health benefits.

Streamline your operations and prioritize your employees’ well-being. With Alan, you can eliminate the hassle of paperwork and confusion, ensuring that fulfilling your responsibilities doesn’t require specialized knowledge. Experience time-saving health insurance with a clear, straightforward offer. Your employees can easily access a simple online table of benefits anytime, without any physical documents to handle. Forget about the complexities of managing arrivals, departures, and portability; everything is conveniently handled through your mobile device or computer. Alan's insurance is fully authorized by the ACPR Banque de France and backed by reputable reinsurers like CNP and SwissRe, consolidating all your employees' protections in one accessible location, free from obligations. Alan green provides health coverage that delivers comprehensive protection without excessive costs. Alan blue offers health coverage that ensures excellent reimbursements regardless of the healthcare provider or optician chosen. Lastly, Alan Foresight features provident insurance, which safeguards your employees against unforeseen challenges such as long-term illness or disability, ensuring that their needs are met during tough times. This innovative approach allows you to focus on growth while providing essential support to your team.

Enter gets Providers (doctors and practices & hospitals) paid faster that anyone in history. Enter processes insurance claims and pays within 24 hours. It also automatically communicates and collects patient responsibility using a white label collection engine that includes payment plans. Enter is 30x more efficient at getting claims paid, and 45x quicker at getting patients billed at the exact same cost as existing medical billers. In just one year, we processed over $150 million in claims. Providers have access to a $100mm credit facility. United Healthcare Nevada - Revenue Cycle Management Partner Enter supports a wide range of specialties, including ASC, Orthopedics and Neurology, Dermatology. Emergency Rooms, Behavioral Healthcare, Pain Management, and many more. - Enter works with all government and commercial health insurance carriers. - Enter integrates all EMR/practice management systems. No monthly fees No integration fees. Venture backed by Enter

Garner offers a comprehensive platform that harnesses extensive data to assist individuals, employers, and health plans in pinpointing the best medical providers, utilizing one of the largest claims databases in the country, which comprises over 60 billion records from more than 320 million patients. This platform employs over 500 metrics specific to various specialties to evaluate provider performance and determine patient outcomes effectively, supported by an AI-enhanced directory that boasts around 92% accuracy for details such as provider contact information and appointment availability. Providers who are designated as “Top Providers” adhere to strict standards, emphasizing evidence-based practices, the reduction of unnecessary medical procedures, and the maintenance of cost efficiency. Additionally, members have access to both a mobile app and a concierge service that facilitate the identification of in-network Top Providers with upcoming appointments, and they may be reimbursed for certain out-of-pocket expenses for services provided by these top-tier professionals. Furthermore, this innovative platform not only streamlines the process of finding quality healthcare but also aims to improve overall patient satisfaction and outcomes through its meticulously curated resources.

The FundOfficeXG system by basys can significantly enhance the efficiency of your benefits administration by meticulously tracking all facets of your contributions accounting and eligibility management. This robust administration suite, combined with easy-to-use online self-service portals, equips you with the necessary tools to oversee, monitor, and compute eligibility and employer contributions effectively. FundOfficeXG boasts an extensive array of advanced processing capabilities, offering a comprehensive solution for both the remittance and collection of benefit contributions, as well as managing eligibility for your members and their families. Built on a secure and reliable calculation engine with adaptable parameters under your control, FundOfficeXG streamlines even the most intricate tasks, such as administering multiemployer health eligibility, managing hour banks, handling retiree health benefits, processing premium billing, and facilitating COBRA procedures. By leveraging this powerful tool, organizations can improve their overall operational efficiency and ensure compliance with benefits regulations seamlessly.

We leverage our sharp insight into affinity product possibilities alongside exceptional digital expertise and market execution to assist insurers in swiftly accessing unexplored markets. CareVoiceOS stands as the inaugural healthcare operating system designed specifically for insurers, fostering an ecosystem that enhances member experiences and influences positive member behaviors. Our solution provides insurers with a seamless ecosystem that focuses on curating personalized digital journeys for their insurance members. This empowers insurers to play a significant role in the daily lives of their members. We support insurers in reducing costs, boosting member satisfaction, and increasing both sales growth and renewal rates. By enabling the development of innovative health insurance products tailored to specific untapped market segments, we help you connect with, educate, and convert previously unreachable customers. Through comprehensive and methodical market research and validation of product prototypes, we ensure that our offerings meet the needs of these new customers effectively. This strategic approach not only enhances operational efficiency but also drives sustained growth in an increasingly competitive landscape.

Benefitexpress was founded by benefits experts and offers industry-leading cloud-based benefits management software, solutions, and services to employers, brokers, and other partners. My Benefit Express™, our fully outsourced solution, simplifies your benefits administration responsibilities. It helps employees make informed decisions and enhances employee engagement and satisfaction. Software and services include a full-service phone center, integrated ACA administration and reimbursement account administration, dependent eligibility audits and total compensation statements. Our clients' success is assured by our commitment to creative problem solving and scalable systems.

Thatch makes it simple to provide your team with great healthcare. Your employees can spend the budget in a way that suits them best. Thatch is trusted by hundreds of businesses in America, from startups to large corporations. Thatch is a platform that allows you to offer your employees the best healthcare experience possible. You decide how much to spend and your team receives great healthcare. Thatch is the new way of doing healthcare. Instead of selecting specific benefits, you can set a budget to empower your team to choose the healthcare that is right for them. It's an affordable, flexible and personal way to provide healthcare to your team. Your team can use the healthcare budget that you set up with Thatch to pay for healthcare in a way that suits them best, combining their preferred insurance plan with other costs and benefits.

Leading insurance firms leverage our SaaS solution to create a personalized shopping experience, streamline policy management, and enhance teamwork among clients, brokers, and health plan teams. Supercharge your operations with our top-tier platform, which delivers speed, adaptability, efficiency, and regulatory compliance throughout your organization. Ensure that you never overlook a chance to attract clients by showcasing your array of health plans and insurance offerings effectively. Increase operational efficiency, manage workflows seamlessly to maintain smooth business functions, and enhance client follow-ups. Save valuable time by allowing JET Insure to monitor events, enabling you to concentrate on essential business pursuits. Discover how we can refine your operations to meet both present and future healthcare demands, while also illustrating the ways our solution can accelerate your growth trajectory. By partnering with us, you can stay ahead in a competitive landscape and ensure sustained success.

Samedi is an innovative web-based software designed to enhance patient coordination while simultaneously reducing costs and improving services. This secure networking tool is applicable in various healthcare settings, including medical practices, clinics, and operating rooms. By utilizing effective resource planning, process management, online appointment scheduling, and task assignments, the system streamlines workflows. Additionally, the inclusion of video consultations and online forms allows for a more adaptable process, all while ensuring top-notch data security. Serving as an e-health software solution for physicians, clinics, and health insurers, Samedi connects the healthcare ecosystem and refines medical operations. With a focus on simplicity, efficiency, and security, our 12 years of experience in the e-health sector enables us to cater to your specific needs, providing customizable options for both straightforward and complex workflow demands. Our software integrates seamlessly with nearly all practice and clinic management systems, facilitating a hassle-free operational experience. This adaptability not only enhances productivity but also fosters better patient outcomes.

Provide your workforce with a benefit that alleviates healthcare-related stress while simultaneously lowering expenses. Introduce an innovative cost management strategy to your clients that ensures no disruption to existing plans or networks. Gain access to a transformative healthcare advantage that can effectively challenge bills and connect you with top-notch healthcare professionals. Our cutting-edge technology utilizes newly accessible health record data APIs to uncover savings opportunities for both employers and employees regarding doctor visits, prescriptions, medical procedures, and other healthcare costs. Milu's advanced data systems, artificial intelligence algorithms, and specialized clinical teams meticulously analyze this data to discover potential savings or enhancements in care for members. Additionally, Milu's innovative tools will identify any medical bills that may have been inaccurately coded or excessively charged, and they will advocate for employees to contest these charges. By harnessing this comprehensive approach, both employers and employees can experience a more streamlined and economical healthcare journey.

The FINEOS Platform stands out as the sole comprehensive end-to-end SaaS core product suite for clients, featuring FINEOS AdminSuite for managing everything from quote to claim, alongside add-on products such as FINEOS Engage to enhance digital interaction, and FINEOS Insight for advanced analytics and reporting capabilities. It serves as a cornerstone for your digital insurance approach. By integrating FINEOS AdminSuite, FINEOS Engage, FINEOS Insight, and robust platform capabilities, the FINEOS Platform establishes itself as the most contemporary single core insurance solution tailored for Life, Accident, and Health sectors. In contrast to outdated legacy core systems that relied on a 'one size fits all' technology model, which is no longer suitable for dynamic businesses, modern consumers, employers, and brokers now benefit from sophisticated SaaS solutions and software that elevate expectations for an insurer's digital initiatives. The previous monolithic insurance software systems primarily concentrated on the intricacies of insurance contracts, overlooking the need for flexibility and adaptability in today's fast-paced market. Embracing the FINEOS Platform means adopting a future-ready approach that aligns with current consumer demands and technological advancements.

Reimbursify stands out as the pioneering mobile-enabled software platform that offers a groundbreaking solution to empower patients, assist healthcare practitioners, and facilitate digital partners in efficiently submitting out-of-network reimbursement claims for both medical and mental health services. This innovative app simplifies the process of filing out-of-network (OON) reimbursement claims with your health insurance provider, providing a swift and hassle-free experience to ensure you receive every dollar you're entitled to. With an intuitive registration process designed for primary insured individuals, spouses, and dependents, the platform boasts a smart dashboard that organizes all your claims and monitors the funds you are set to receive. Additionally, it features a unique Rejection Resolution Pathway that quickly addresses any rejected claims, along with a provider search function that automatically fills in essential provider details to further streamline your experience. Reimbursify not only maximizes the efficiency of the reimbursement process but also enhances the overall user experience, making it an indispensable tool for anyone navigating the complexities of healthcare claims.

EbixEnterprise serves as an all-encompassing solution for insurance management, effectively optimizing policy oversight throughout its entire lifecycle. The platform comprises six key elements: Customer Relationship Management (CRM), health insurance exchange, policy administration, claims administration, data analytics, and a consumer web portal. These components are interconnected, facilitating the seamless transfer of data in response to various business requirements. SmartOffice CRM empowers organizations to efficiently handle agent and broker details, commission structures, sales pipelines, and state licensing information. Furthermore, the Online Quoting Portal, HealthConnect, stands out as a premier marketplace for both buyers and sellers of health insurance and employee benefits. In addition, EbixEnterprise Administration functions as a robust policy management system, equipping users with all necessary tools to oversee policies, define insurance plans, and maintain associated rate data. This comprehensive approach not only enhances operational efficiency but also drives improved decision-making across the organization.

Introducing a comprehensive insurance quoting, enrollment, and lead management platform crafted specifically for modern insurance agents. Regardless of whether your operations are primarily conducted through in-person meetings, phone calls, online sales, or a combination of these methods, Quotit provides innovative solutions that enhance your clients' experiences through efficiency, tailored services, and automated processes. By investing in health insurance software, you can streamline operations and improve productivity, ensuring your clients enjoy seamless interactions at every touchpoint. Whether you seek a ready-to-use solution or require integrated data and capabilities, we have the right options for you. Our solutions, whether bundled or as standalone cloud-based APIs, ensure that you have centralized access to health plan information from a multitude of carriers nationwide, all in one convenient location, allowing you to focus on what truly matters—serving your clients effectively. Additionally, our platform is designed to adapt and grow with your needs, ensuring you remain competitive in a rapidly evolving industry.

Alegeus revolutionizes the interaction between individuals and the U.S. healthcare system. With healthcare expenses climbing and coverage options becoming more intricate, Alegeus reaches out to individuals and steers them towards optimal healthcare spending and saving approaches. Our versatile, cloud-hosted platform facilitates health benefit account initiatives for over 300 clients, which include top-tier third-party administrators, health insurance providers, financial institutions, and others. By collaborating with leading benefit account administrators, our platform empowers over 30 million individuals to effectively manage their healthcare spending on a daily basis. The introduction of debit cards enhances the convenience and efficiency of healthcare account transactions. Currently, our platform supports in excess of 16 million active healthcare payment cards. Thanks to our adaptable, SaaS-driven platform, Alegeus clients are experiencing growth and fostering account adoption at a rate that outpaces the market by 3 to 4 times, illustrating the significant impact of our solutions in the healthcare sector. As we continue to innovate, we remain committed to enhancing the user experience for our clients and their members.

Curacel's AI-powered platform allows insurers to track fraud and automatically process claims. You can easily collect your claims from your Providers and auto-vet them. Curacel Detection can help you identify and curb fraud, waste, and abuse in the Claims Process. Collect claims from providers to prevent fraud, waste, and abuse in the claims process. To understand where Insurers are losing the most value, we studied the Health Insurance industry. This was the Claims Process. The Claims Process is mostly manual and is prone to fraud, waste, and abuse. Our AI-driven solution helps reduce wastage and makes the Insurer more efficient, unlocking hidden value. Ravel insurance is unique in that it is built upon on-demand policies that only cover a short time. Both the policy holder and the insured want a fast and accurate claim settlement.

Sagitec offers a range of innovative software solutions, including Neospin™, a comprehensive browser-based pension administration system designed for efficient management of pension benefits. Additionally, Sagitec Neosurance™ provides a fully integrated platform for handling unemployment insurance, disability insurance, and paid family leave, all accessible through a user-friendly web interface. The Sagitec HealthConnect platform facilitates Medicaid member engagement by empowering users to take an active role in their health management, utilizing Microsoft’s Azure cloud, which is HITRUST certified for security. Furthermore, Xelence™ serves as Sagitec's low-code/no-code platform, providing a visual environment that enables both citizen developers and IT professionals to create, test, and launch a variety of applications. This platform simplifies the development process for everything from basic consumer applications to complex enterprise solutions, featuring intuitive drag-and-drop capabilities and integrated enterprise architecture tools that streamline application deployment. With these tools, organizations can enhance their operational efficiency and improve service delivery across various sectors.

Experience immediate access to cost-effective and adaptable healthcare solutions. HealthKey is designed for everyone, whether you are an employer seeking a varied healthcare benefits program or simply want to prioritize your personal health, and best of all, it is completely free to use. Forget about the frustrations of endless paperwork and long waits; HealthKey's integrated network provides you with immediate access to a wide range of health services and resources. You can either utilize the benefits already available to you or explore new providers that better cater to your unique needs. This platform is tailored to be both personalized and flexible, empowering you to select the health areas that matter most to you. Additionally, we offer various payment options to simplify the process, allowing for health budgets, personal spending, salary sacrifice, and innovative options like 'pay with HealthKey.' With such a user-friendly approach, taking charge of your health has never been easier.

AgencyBloc's Plus Suite offers a comprehensive set of tailored solutions for health, senior, and benefits agencies, enabling them to streamline their data management, maintain compliance, automate processes, and enhance client and policy management, ultimately facilitating a smoother path to sustainable growth while overcoming various obstacles. This innovative platform is designed specifically to cater to the unique needs of the insurance industry, ensuring agencies can thrive in a competitive landscape.

Ease, formerly EaseCentral, is a technology-based platform that allows insurance brokers to provide better service to their SMB clients. Ease makes it easy to set up and manage benefits and onboard new employees. It also allows you to stay compliant and give employees one place for all your human resources information. Ease is used by more than 70,000 small and medium-sized businesses today for benefits and HR.

Choose INSXCloud as your go-to platform for both on-exchange ACA health plans and off-exchange supplemental coverages, including options for dental, vision, accident, and short-term medical. Since the Federal Marketplace was launched in 2014, INSXCloud has been a valuable resource for agents, agencies, and issuers, facilitating the quoting and enrollment processes for individuals and families seeking Affordable Care Act coverage along with ancillary health options. Over the years, we have successfully helped agents and issuers enroll more than 2 million members in a variety of health, dental, vision, and supplemental plans. With our EDE version, e-Commerce is tailored to your needs, enabling both agent-led and direct-to-consumer enrollments. By partnering with us, you retain full control over your marketing strategies, ensuring that your messaging resonates with clients. Our platform also features convenient tools like an enhanced provider lookup to find doctors accepting specific plans and a 'Pay Now' feature available for numerous carriers, streamlining the payment setup for your clients. Additionally, this user-friendly interface makes it easier than ever for you to manage your clients’ healthcare needs efficiently.

Swiss Re provides an extensive array of reinsurance solutions aimed at assisting insurers in refining risk management and enhancing analytical capabilities throughout the insurance value chain. Their portfolio includes both property & casualty and life & health reinsurance options, delivering customized coverage and cutting-edge tools that address the dynamic requirements of the re/insurance sector. By utilizing state-of-the-art technology and insights driven by data, Swiss Re empowers its clients to manage risks proficiently, boost operational efficiency, and seize emerging market opportunities. The company engages directly with clients and collaborates through brokers, serving a diverse clientele that includes insurance firms, mid-to-large corporations, and public sector entities. Whether offering standard products or bespoke coverage across various business lines, Swiss Re leverages its financial strength, deep expertise, and innovative capabilities to support the risk-taking essential for enterprise growth and societal advancement. This commitment to innovation and client support positions Swiss Re as a leader in the ever-evolving landscape of reinsurance.

The process of filing claims is intricate and essential. Over 60% of individuals refrain from submitting complex claims due to the involved procedures and the time they require. Artivatic offers a specialized claims platform tailored to various insurance sectors, empowering companies to facilitate digital claims experiences, enable self-processing, automate evaluations, and implement risk and fraud intelligence alongside claims payouts. A SINGLE PLATFORM TO ADDRESS ALL YOUR CLAIMS REQUIREMENTS. Comprehensive Automation and Assessment for Claims. AUTO CLAIMS – HEALTH CLAIMS – TRAVEL CLAIMS – ACCIDENTAL CLAIMS – DEATH CLAIMS – FIRE CLAIMS – SME CLAIMS – BUSINESS CLAIMS – COMMERCIAL CLAIMS – EVERY CLAIM MATTERS.

HealthRules® Payer represents a cutting-edge core administrative processing system that offers transformative features for health plans across various types and sizes. For over a decade, health plans utilizing HealthRules Payer have effectively capitalized on market opportunities, maintaining a competitive edge. What sets HealthRules Payer apart from other core administrative solutions is its innovative application of the patented HealthRules Language™, which resembles English and introduces a groundbreaking methodology for configuration, claims management, and information transparency. This system empowers health plans by enabling them to expand, innovate, and outperform their peers more effectively than any other core system available today. As a result, HealthRules Payer not only streamlines operations but also fosters a culture of agility and responsiveness within health organizations.

AUSIS – Comprehensive Behavioral Underwriting AUSIS empowers insurance companies to conduct thorough underwriting, scoring, and decision-making instantly. By utilizing AUSIS, businesses can experience significant decreases in costs, time, risk, and fraud while simultaneously boosting efficiency and decision-making capabilities through alternative scoring methods and additional features. Furthermore, AUSIS enhances the straight-through processing (STP) rate from non-straight-through processing (NSTP) and allows for non-invasive health data collection from various sources, including air quality index (AQI), geographical location, mortality statistics, social factors, images, videos, health monitoring devices, weather conditions, sanitation levels, and more. With AUSIS, insurance firms can achieve as much as a 40% reduction in the costs associated with issuing each policy. This innovative solution not only streamlines the underwriting process but also provides valuable insights that can lead to better risk assessment and management.

Offering a practical and user-friendly solution, Vital Objects (VO) assists large-scale insurance companies in optimizing the management of both traditional and flexible benefit group programs. Discover an array of interactive and intuitive features designed for ease of use. With Vital Objects, you can manage benefits seamlessly, while its advanced billing system efficiently handles even the most complex calculations. It ensures precise adjustments for retroactive member premiums, taking into account historical rates, plan details, billing records, payroll deductions, tax obligations, and taxable benefits. Its innovative scheduling tool for monthly billing combined with real-time updates enhances the efficiency of billing processes and premium collection. The platform accommodates custom fields and provides ad-hoc reporting capabilities, along with a comprehensive audit trail for transparency. Additionally, it supports flexible member enrollment, maintenance of benefit plans, and includes a self-service administration module to further simplify the experience. By leveraging these capabilities, insurance companies can significantly improve their operational efficiency and service delivery.

A comprehensive approach to workforce health begins with a Health OS™. This all-encompassing health benefits platform equips organizations to manage expenses effectively, enhance utilization rates, and prioritize the well-being of their employees. Our goal is to inspire individuals to lead healthier and more fulfilling lives every single day. Through top-tier user engagement, we offer clear insights into workforce health, which aids in developing risk management strategies, forecasting healthcare costs, predicting productivity levels, and crafting return-to-work initiatives. Additionally, our personalized concierge services paired with a versatile digital wallet simplify the process for employees to discover, comprehend, and utilize their available health and benefit programs, including telemedicine and Employee Assistance Programs (EAPs). Our licensed healthcare professionals deliver immediate, confidential guidance for both physical and mental health issues, ensuring support is readily available. Furthermore, employees can tap into a variety of virtual resources, including evidence-based programs and counseling services, to further enhance their well-being.

HealthAxis provides integrated solutions to payers, providers, and health organizations. These integrated solutions include an advanced claims processing system, TPA services, and actionable analytics. We simplify operations and improve patient and client outcomes. Healthcare is becoming more technologically connected, but it is still hindered by legacy technology, coordination problems, and information management. We aim to bring innovation to those who are struggling with these issues. Our client philosophy is to be a complete business partner. HealthAxis believes that our success is not based on selling our solutions, but rather on our business partners' continued success and growth. We empower our partners to bring value to the communities that they serve. We thrive with them as they grow their membership and expand their scope. Each member of our team is aware of their responsibility to help our partners realize their potential.

Employers can select a monthly stipend while we manage the entire process from selection through to payment, ensuring that any unutilized funds revert back to your budget since you only pay for what is actually used. Employees have the opportunity to explore customized health and wellness benefits, including lab tests, pet care, fitness activities, meditation, egg freezing, and yoga, all accessible via a virtual corporate card. With Fijoya, you unlock a vast array of medical, health, and wellness services within one convenient app. Our intelligent recommendation engine provides options specifically tailored to your individual preferences, and by utilizing virtual cards, we remove the hassle associated with traditional reimbursement methods. This streamlined approach not only enhances employee satisfaction but also promotes healthier lifestyles in the workplace.

BRMS excels in the efficient and precise processing of all Medical, Dental, Vision, and Retiree claims, ensuring a swift turnaround time. We seamlessly update eligibility each night through our MyHealthBenefits system, maintaining up-to-date information. Our expertise in PPO negotiations allows us to effectively lower costs for employers regarding claims. We oversee the full spectrum of claims administration, from initial receipt and eligibility verification to negotiation and final payment. By centralizing all operations in-house, including claims processing, medical management, PPO network oversight, and billing, we offer a responsive and personalized service experience. For self-insured entities, BRMS serves as an invaluable partner in handling Medical, Dental, and Vision claims with exceptional accuracy and efficiency. Our commitment to quality and customer satisfaction sets us apart in the industry.

Since 1980, msg life has been a leader in the market by providing innovative software and consulting services tailored for insurance companies. Our clients worldwide trust our extensive expertise and professional insights. With a presence across Europe and additional branches in the United States, we deliver both swift standard solutions and tailored services across all areas of insurance. The depth of our industry knowledge sets us apart, equipping your organization with critical competitive advantages. Our offerings are effectively utilized not just in life insurance and retirement planning, but also encompass non-life, personal liability, and health insurance sectors. At msg life, we develop smart concepts and solutions that play a vital role in your success. We assist our clients in navigating the complexities of digitization in a sustainable and reliable manner, always with a strategic outlook. Our extensive range of services includes bespoke consultancy, professional support, and comprehensive software products, ensuring we meet diverse client needs effectively. Ultimately, msg life is committed to empowering insurance companies to thrive in a rapidly evolving market landscape.

An all-encompassing health benefits platform that emphasizes prediction, prevention, and personalization. With over 10,000 partners across India, you can provide comprehensive health support to your employees whenever and wherever they need it. The platform offers a variety of services, including health assessments, telemedicine consultations, pharmacy delivery, fitness programs, and dental and vision care, all accessible from one convenient location. While you concentrate on your primary business operations, ekincare takes care of the daily management of your Occupational Health Centers (OHCs). Additionally, employees can benefit from cashless transactions and zero-interest EMI options for significant healthcare expenses. Enhance employee satisfaction and productivity through various assistance programs and access to counseling support. The platform features real-time dashboards that compile population health data, enabling you to make informed decisions consistently. Understand the health requirements of your workforce and develop a tailored annual plan that fosters greater engagement. Always stay informed with insights derived from real-time data on utilization, health metrics, and engagement statistics, ensuring you have the tools needed to support your employees effectively. This comprehensive approach empowers organizations to enhance workplace wellness and drive overall success.

VERMEG has developed SOLIFE, a robust policy administration system specifically designed for life and health insurance providers. This system streamlines the complete management of new business activities, policies, and claims, featuring capabilities such as cash and events management, seamless accounting integration, and oversight of distribution and fees. It also addresses reinsurance, tax and legal compliance, dedicated reporting, and efficient claims handling. With over two decades of industry experience informing its design, SOLIFE adopts a client-centric model and is regularly updated to align with evolving regulatory requirements, including MiFID and PRIIPs. The platform is built to facilitate digital processing via APIs and responsive design, ensuring a modern user experience. Its high degree of automation not only minimizes administrative expenses but also includes a versatile product-design workbench that enhances the speed of market delivery. Furthermore, the system accommodates various distribution models, making it adaptable to a wide range of business requirements, ensuring that it remains relevant in an ever-changing marketplace. This flexibility empowers insurance companies to optimize their operations and meet their unique challenges effectively.

EvolveNXT’s platform is designed for health insurance carriers and any commission-based business, providing a customizable suite of solutions that enhance sales performance and simplify the management of intricate business processes. With over ten years of experience collaborating with top insurance carriers, we have crafted a solution tailored to meet the demanding requirements of competitive and regulated markets. Our compliance-focused approach allows organizations to boost the efficiency of their sales channels while promoting sustainable growth in enrollment. Notably, the intricate commission structures that apply to Medicare brokers are among the most challenging to navigate; EvolveNXT facilitates the management and automation of Medicare compensation while ensuring adherence to CMS regulations. By utilizing our commission management software, insurance carriers can not only streamline their operations but also empower their teams to achieve peak sales performance, paving the way for greater success in an ever-evolving industry.