Alternatives to Handl Health

Elation Health is the leading platform for primary care, empowering 32,000 clinicians to deliver personalized care to over 16 million patients. With a clinical-first EHR, integrated billing, and AI-powered tools, Elation simplifies care workflows to help independent practices thrive.

Collective Health stands out as the pioneering integrated solution enabling self-funded employers to manage their plans, control expenses, and prioritize the well-being of their employees, all from a single platform. We invite you to discover how our tailored programs, seamless administration, and intelligent member experience enhance the benefits we provide. Serving a diverse clientele that includes scientists, truck drivers, and musicians, we take pride in having the most satisfied clients and members in the health insurance sector. Explore why many leading self-funded employers nationwide opt for Collective Health. If you are a broker or consultant aiming to advance your clients’ healthcare strategies, Collective Health offers a streamlined technology solution that optimizes employee healthcare for all stakeholders. With a membership nearing 250,000 and a portfolio of over 50 clients—including notable names like Driscoll’s, Pinterest, Red Bull, Restoration Hardware (RH), and Zendesk—Collective Health is revolutionizing the healthcare journey for innovative organizations. By focusing on integration and member satisfaction, we aim to reshape the future of health insurance.

Gigasheet applies AI to healthcare price transparency data to deliver market intelligence for providers, payers, and consultants. The platform structures Transparency in Coverage datasets at scale and analyzes them to benchmark reimbursement rates, identify outliers, and surface opportunities for savings or growth. Organizations can integrate their own claims, contract, or network data within a high-scale spreadsheet-style interface to create a complete view of market dynamics. Gigasheet’s AI agent produces consultant-grade reports, dashboards, and executive summaries, allowing teams to improve contracting and strategy decisions without relying on complex technical workflows.

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.

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.

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.

The Turquoise Health Enterprise platform offers a wide-ranging array of solutions centered on healthcare price transparency and the management of contracting processes, featuring modules like Clear Rates Data, which compiles an extensive dataset of over a trillion records related to providers, payers, professionals, drugs, and devices for both institutional and professional services. In addition, it incorporates Clear Contracts, a cloud-based application designed to facilitate the creation, negotiation, and storage of contracts for both payers and providers. This platform also provides Compliance+ to aid organizations in adhering to the requirements for machine-readable files and Good Faith Estimate regulations, along with Analytics tools that allow users to benchmark and investigate market-level rate data. Furthermore, it offers Custom Rates extracts specifically designed for niche healthcare segments, Standard Service Packages comprising pre-assembled bundles of frequently performed procedures, and Search and Care Search dashboards that assist in the discovery and comparison of rates. Additionally, the Turquoise Verified program empowers both providers and payers to efficiently publish and manage their price transparency information, ensuring that all stakeholders benefit from accessible and reliable pricing data.

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.

Pysquel represents a cutting-edge solution for insurance billing, collections, and practice management tailored specifically for mental health professionals. This robust software platform not only enhances the efficiency of mental health practices but also significantly boosts their profitability through its extensive range of features. Among its primary functionalities are claims management, appointment scheduling, Electronic Data Interchange (EDI), billing and invoicing, as well as tools for creating assessment and treatment plans, progress notes, and a patient portal. Additionally, Pysquel includes personnel management capabilities, making it a comprehensive tool for mental health service providers looking to streamline their operations. Overall, Pysquel stands out as an essential resource for practitioners aiming to improve both administrative tasks and patient care.

Amino transforms your healthcare benefits portfolio into a dynamic resource, encompassing your investments in direct primary care, incentive programs, point solutions, and beyond. With its robust search engine, it swiftly delivers recommendations for both physical and mental health care, connecting you with pertinent point solutions and leading in-network providers. The proprietary ratings for cost and quality simplify complex data, empowering members to make educated choices regarding their healthcare options. Its user-friendly interface enhances engagement by offering dependable provider information, precise network details, and easy appointment scheduling. Additionally, a centralized dashboard allows users to conveniently monitor upcoming appointments and keep track of preferred providers, all within a single platform. By integrating your existing health solutions seamlessly, Amino ensures that the most relevant benefits are prioritized, thereby fostering greater engagement within your benefits ecosystem. This holistic approach not only improves individual healthcare experiences but also encourages proactive management of health-related needs.

Enhance clinical quality metrics, improve the accuracy of risk scores, boost patient and provider involvement, elevate patient outcomes, ensure operational transparency, and optimize economic performance through a singular, integrated suite of software solutions. The Inovalon Payer Cloud revolutionizes conventional workflows by transitioning them into data-driven methodologies that align with your health plan’s primary goals. Supported by top-tier analytics capabilities, our unified SaaS solutions provide the essential member-centric insights along with the speed, precision, and adaptability required to maintain a competitive edge in today’s varied and rapidly evolving market. Inovalon's healthcare payer SaaS suite not only delivers valuable insights and actionable strategies but also empowers health plans to assess, manage, and enhance health outcomes, economic efficiency, and the overall quality of care. With our payer solutions, stakeholders can achieve improved member care and outcomes while simultaneously enhancing operational performance and efficiency, leveraging advanced analytics and agile business intelligence tools to navigate the complexities of the healthcare landscape more effectively. As a result, organizations can cultivate a proactive approach to healthcare management, ensuring they are well-equipped to meet both current and future challenges.

Insurance Discovery enhances financial outcomes by uncovering previously unrecognized billable coverage that providers may not be aware of, thereby minimizing underpayments and uncompensated care. By employing advanced search functionalities, this solution reveals instances where patients possess multiple active payers, which can significantly improve reimbursement prospects. Additionally, it helps to prevent delays in reimbursement and accelerates revenue collection by ensuring that claims are submitted to the correct payers on the first attempt, thanks to more precise coverage details. When utilized with verified demographic information, Insurance Discovery provides reliable coverage and eligibility insights. This modern approach replaces outdated manual methods of insurance discovery with a swift and thorough search that queries numerous databases in mere seconds, yielding detailed and accurate coverage information. Furthermore, it enhances the overall experience for patients and residents by facilitating accurate estimates of out-of-pocket expenses, ultimately contributing to a more favorable financial journey for them. By streamlining these processes, providers can focus more on patient care rather than administrative tasks.

Achieving significant advancements in both clinical and administrative outcomes, Evolent Care Partners, a healthcare system in the Midwest, has earned the distinction of being ranked third nationally for both total shared savings and the percentage of savings against benchmarks. By providing independent primary care physicians with essential capital and resources, Evolent Care Partners empowers them to engage in and thrive under two-sided payer contracts while mitigating their financial exposure. New Century Health enhances cost-effectiveness and quality of care in oncology and cardiology by leveraging clinical evidence to inform care decisions, a process that enjoys support from both payers and providers alike. Furthermore, Evolent Health Services streamlines health plan operations through a suite of comprehensive services backed by a modern, integrated platform and a genuine model of strategic partnership. Additionally, the organization encourages exploration of insights and news related to value-based care, population health, health plan administration, and various topics concerning the transformation of healthcare. Through these initiatives, Evolent aims to foster a more efficient and effective healthcare landscape.

Act as a strategic consultant for your clients by assisting them in assessing their claims, workers’ compensation losses, health plans, and more through the resources offered in the Zywave Analytics Cloud. Demonstrate your commitment to the success of every partner, not just your most prominent clients, by showcasing your agency's analytical strengths and providing tailored, cost-effective recommendations using advanced reporting and analytics tools. Uncover concealed healthcare expenses, simulate possible modifications to plan designs, and present targeted cost-saving strategies with the robust features found in Decision Master Warehouse + PlanAdvisor. Illuminate the effects of the mod to your prospects and clients, pinpointing cost drivers and trends through the intricate analytics offered by ModMaster. Utilize the user-friendly reports in RALLE Warehouse to identify the underlying causes of auto, property, workers’ compensation, and general liability claims. By leveraging these comprehensive tools, you can foster deeper relationships with clients, ensuring they recognize the value you bring to their business.

Evaluate your group's medical and prescription usage along with associated costs by comparing them to one of the nation's largest normative datasets. Utilize our cutting-edge analytics to identify potential areas of concern effectively. Eliminate the hassle of spreadsheets; with Decision Master® Warehouse's dynamic dashboards and reporting tools, you can swiftly uncover the who, why, where, what, and when, enabling you to implement targeted strategies that save costs. Assist clients in making informed decisions by experimenting with alternative plan design options in advance. Analyze the impact of changes on both your client's financial health and the healthcare expenses of their employees. Our benchmarking information is sourced from one of the most extensive normative datasets available, including insights from Truven Health Analytics and the Kaiser Family Foundation. Delve into over 60 categories, such as total health plan expenses, inpatient and outpatient claims, emergency room usage, and much more, to gain a comprehensive understanding of healthcare dynamics. This depth of analysis empowers organizations to tailor their strategies more effectively, enhancing overall health management.

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.

The essential tool for workers' compensation ratings that will help expand your business portfolio. It includes comprehensive rates and rating factors applicable to over 99% of the workers' compensation market in your region. The reports are designed to be straightforward for both you and your clients. Additionally, it offers numerous handy look-up tables. You can import policy information seamlessly from AMS360 or TAM, and it accurately computes experience modification factors for all carriers in Michigan. Notably, a single risk may possess as many as 14 distinct experience modifications based on the carrier, and E!Z MOD is equipped to calculate each one effectively. This tool not only enhances efficiency but also empowers you to provide tailored solutions for your clients.

HM Health Solutions offers a comprehensive end-to-end solution designed specifically for health plans. With the Enterprise Health Solution, you can obtain the necessary support and achieve the desired business outcomes from a singular, integrated health plan administration platform. This suite of applications and tools oversees a wide range of functions, spanning from sales and enrollment to billing and claims, along with provider and clinical management, as well as customer service. The Enterprise Health Solution (EHS) stands out as the sole verified end-to-end solution that ensures a smooth transition for members from the enrollment stage all the way to claims payment. While other providers may assert that they deliver a fully integrated solution, they often fail to clarify that this may require the sequential purchase of multiple modules to realize true integration. In contrast, the Enterprise Health Solution maintains a singular focus on health plan administration, ensuring that our expertise in the payer space is unmatched. Consequently, when you choose EHS, you are opting for a platform that prioritizes your health plan’s unique needs and operational efficiency.

Modern, Automated & Shared Employee & Group Health Benefit Platform ASPIRE HEALTH by ARTIVATIC is proud to provide a MODERN & AUTOMATED PLATFORM FOR EMPLOYEE & GROUP HEALTH BENEFITS. ASPIRE HEALTH is aimed to drive better outcome, efficiency, standardization, simplification, and connecting as Shared Platform for brokers, carriers, TPAs, 3rd Parties and customers (SMEs, Businesses etc.) on one Unified Platform.

Titanium represents a cutting-edge, all-encompassing, client-focused business policy administration system designed to facilitate digital transformation while ensuring a smooth implementation process and reducing associated risks. It provides life insurance providers with immediate access to thousands of customizable products right from the start. Within just weeks, users can launch a wide array of offerings including individual, group, fixed, variable, traditional, and non-traditional life, health, and annuity products. As a genuine end-to-end solution, Titanium boasts over 42 years of proven success. LIDP has consistently achieved a flawless implementation and conversion project success rate. Being a privately owned company enables them to concentrate entirely on client satisfaction and the creation of optimal solutions tailored to client needs, all while leveraging the latest technological advancements. This strategic approach ensures that carriers' core solutions remain relevant and resilient for many years ahead. Furthermore, Titanium's adaptability positions it as a leader in the evolving landscape of the insurance industry.

Our telecom expense management and connectivity solutions empower organizations to seamlessly connect, manage, and integrate any device or network through a unified platform. Monitoring and controlling telecom expenses can be a tedious and challenging task. We alleviate this burden without any upfront costs for your organization. Our managed mobility solutions enhance operational efficiencies, reduce expenses, and allow internal teams to concentrate on more valuable projects. By aggregating both MNOs and MVNOs, we offer comprehensive single and omni-carrier solutions that guarantee robustness and optimal uptime. Advantix SmartSIM facilitates the connection of SIM-enabled hardware devices to various cellular networks through intelligent carrier switching technology. This means users no longer need to select a specific carrier or fret over wireless signal quality in different locations. Furthermore, our Telecom Lifecycle Management (TLM) platform seamlessly integrates with carrier systems via their APIs, ensuring a smooth operational experience for users. This integration not only simplifies management but also enhances decision-making processes related to telecom resources.

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.

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.

LTC Quote Plus, the successor to StrateCision's highly regarded LTC Quote program, sets a new benchmark in the industry for evaluating LTC policy rates. This innovative tool allows users to obtain quotes tailored for individuals or couples, encompassing nearly all available LTC insurance plans. Users can select various benefit levels, including unique riders associated with specific policies. The program facilitates the creation of both singular and comparative proposals, accommodating up to six on a single page. Additionally, it provides supplementary illustrations such as the implications of delaying coverage, how inflation protection can enhance benefits, and different premium alternatives. The quotes are tailored to specific states and aim to reflect the outputs of carriers' software accurately. StrateCision's LTC Quote Plus boasts numerous enhancements stemming from user feedback, such as the ability to save and retrieve proposals. Users can preview all illustrations on-screen, search for plans that match their desired benefits, and arrange them according to ascending premiums. Furthermore, the program allows for synchronized benefits for spouses and makes it easy to email illustrations directly to clients, ensuring a seamless experience. This comprehensive approach not only streamlines the process but also empowers agents to provide more personalized service.

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

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.

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.

Accelerate your business growth by leveraging the top-rated real-time comparative rater for personal lines. Effortlessly compare immediate quotes from various carriers all at once and in one convenient location. PL Rating stands out as the premier comparative rater, seamlessly linked to over 300 insurance providers across 48 states and Washington D.C. In contrast to the time-consuming process that captive agencies and direct writers face to deliver a single quote, you can offer numerous rates and coverage alternatives to your clients in a fraction of that time. Optimize your efficiency: With a robust network of over 300 real-time carrier connections, agents can generate accurate quotes from multiple carriers faster than it takes to obtain a single quote from a carrier's website. Boost your income: PL Rating provides options for package, flood, and Consumer Rate Quotes, all of which can contribute to increased revenue streams. Moreover, with quicker closing times, your ability to retain customers is enhanced. Streamline your data entry process: Instead of subjecting your clients to a barrage of questions, PL Rating assists in verifying the information related to your customers, making the process smoother and more efficient. This integration ultimately results in a more satisfying experience for your clients while elevating your agency's productivity.

HealthPriceCompare aims to revolutionize healthcare pricing data into information that empowers consumers. As out-of-pocket expenses for healthcare rise, it is crucial to have the proper tools to guide informed purchasing choices. Our innovative comparison tool facilitates this process by allowing users to quickly compare prices, provider locations, and quality metrics for various healthcare services. We are convinced that price transparency can significantly enhance the healthcare experience for consumers. In this age of openness, HealthPriceCompare provides the essential means to navigate healthcare shopping effectively. By equipping consumers with clear information, we hope to foster smarter healthcare decisions that ultimately benefit their well-being.

Shift’s Payment Integrity offers an advanced AI-driven solution tailored for health plans, aimed at enhancing the precision and minimizing expenses involved in the claims payment process. This innovative tool operates effectively during both pre-payment and post-payment phases, enabling plan administrators to identify potential issues early on while also recovering overpayments efficiently. Among its notable features are dynamic claims editing with updated rules, AI-supported reviews of medical records, detection of anomalies as well as instances of fraud, waste, and abuse, and integration of external data for a more comprehensive analysis. The system is designed to adapt to changing policies and guidelines, featuring automated policy assessments and an edit logic workbench that allows health plans to experiment with concepts prior to implementation. It also includes clear flags and alerts that inform reviewers about the reasons behind claim flagging, facilitates faster document reviews by emphasizing key sections of records, and employs data mining techniques to uncover emerging trends. Additionally, the platform boasts a cohesive case management interface that streamlines investigative workflows, further enhancing operational efficiency for health plans.

The desktop comparative rating and client management solution is designed specifically for agency use as a stand-alone application. Its user-friendly yet robust interface is complemented by comprehensive help resources. This software facilitates complete underwriting processes while applying all applicable discounts and surcharges. Users can acquire real-time quotes straight from the systems of participating carriers, offering more lines of business than any competing rating vendor. It allows you to consolidate your quotes for Auto, Motorcycle, Home, Dwelling Fire, Mobile Homeowners, and Residential Estimates into a single client database. ACS intelligently retains your responses, eliminating the need to re-enter answers for the same quote. You can also store default coverage options to enhance efficiency. The application features automatic databases for Vehicle & Territory searches, which include company-specific symbols and ISO-Verisk Strategic Alliances protection class look-ups. Additionally, it provides the ability to print quotes from one or multiple companies and email quotes, proposals, and applications directly. Free trials, walkthroughs, and training sessions are readily available upon request, ensuring users can maximize their experience. Lastly, responsive technical support is offered through various channels, including phone, chat, remote access, or email, ensuring help is always at hand when needed.

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.

Our tailored, guided approach empowers individuals to take control of their health journey. Experience high-quality, connected healthcare in just 60 seconds, all conveniently located in a single platform. This fully customizable experience enhances your current benefits program and health plan seamlessly. Enjoy simplified access to your health and care benefits through a personalized application. Members can obtain care in 60 seconds while utilizing a range of digital tools to locate in-network providers, save on prescription costs, and much more. We collaborate directly with providers, Centers of Excellence, and specialized solutions to establish a comprehensive ecosystem of high-quality, affordable care that addresses the diverse health needs of our members. With options for shared savings or at-risk pricing for our extensive services, Transcarent allows you to maximize value while minimizing expenses. Our goals are aligned with yours, ensuring enhanced value for you and your team. Benefit from a single contract that encompasses the entire spectrum of care, from primary to specialty care and pharmacy services, all with rapid, cost-free implementation for your ease. This innovative approach not only streamlines your healthcare experience but also fosters a healthier future for everyone involved.

InterSystems HealthShare serves as a sophisticated interoperability platform that effectively links health data from diverse origins, guaranteeing that information remains secure, accessible, and easily shareable when necessary. By integrating clinical, claims, and social determinants of health data, it facilitates enhanced population health management and fosters digital transformation initiatives. The range of solutions offered by HealthShare captures data in a meaningful way, promotes understanding, and inspires transformative actions within organizations and communities alike. By creating a comprehensive and unified care record, it leads to improved patient care and outcomes. Additionally, it provides a robust provider data management solution to maintain current directories and oversee provider networks efficiently. Furthermore, it empowers the entire care team to collaborate, connect, and coordinate care throughout the health ecosystem. By utilizing a customizable portal, APIs, and services, organizations can actively drive patient and member engagement, thereby improving their digital front door experience and ultimately enhancing overall healthcare delivery.

Enable patients to navigate their own healthcare needs and connect with the most suitable services. Our approach assists healthcare providers and systems in attracting new patients while ensuring the satisfaction and retention of current ones through a more consumer-focused experience. This ultimately leads to improved patient involvement and health results, all while streamlining workflows and boosting overall efficiency. Additionally, we support health plans and payers by providing their members with tools for self-service symptom assessment, triage, and clear guidance to identify the most appropriate, convenient, and cost-effective in-network care options. We collaborate with companies in digital health, healthcare innovation, and healthcare SaaS to enrich their digital health offerings with clinically-validated AI chat solutions, ensuring that patients receive timely and accurate assistance in managing their health. By leveraging technology and partnerships, we aim to transform the way healthcare is accessed and delivered.

QuoteRUSH was designed by insurance experts specifically for their peers and is transforming the insurance landscape. Our platform serves as an intuitive rating tool that allows users to efficiently quote all their insurance providers from a unified entry point. This innovative rating technology provides real-time rates with complete accuracy, as it operates directly on the websites of the carriers, eliminating any assumptions or errors in translation, ensuring the rate is calculated precisely as the carrier intends. This groundbreaking software is changing the workflow and decision-making processes involved in the quote-bind-policy cycle. Additionally, we seamlessly integrate with all lead vendors and various agency/lead management systems. As the fastest comparative rating software for homeowners insurance available, QuoteRUSH prioritizes current, accurate data, steering clear of complicated algorithms and speculative predictions about the future; we focus solely on real-time rates sourced directly from the insurance carriers. Our commitment to clarity and precision sets us apart in an industry that often relies on outdated methods.

We collaborate with private insurance providers to ensure that your therapy sessions are consistently covered. Dealing with mental health billing and health insurance should not feel like navigating a maze without a light. Nirvana simplifies the entire insurance experience, from determining eligibility to securing reimbursement, allowing you and your therapist to focus on what truly matters—your well-being. Instead of wasting precious time on lengthy phone calls with insurance companies to clarify your benefits, you can effortlessly access a comprehensive overview of your coverage right after you sign up. With Nirvana, you can easily oversee the entire claims process, tracking everything from submission to processing and adjudication. Additionally, you can filter your claims by session and date ranges to gain valuable insights into the reimbursement amounts related to your therapy sessions, ensuring you stay informed every step of the way. This way, you not only save time but also enhance the efficiency of your overall therapy experience.

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.

LexisNexis® MarketView™ provides medical claims-based insights tailored for healthcare payers, providers, life sciences enterprises, and health IT organizations throughout the United States. This platform offers actionable intelligence designed to enhance competitiveness, enabling businesses to uncover valuable insights and visualize transformative strategies. Regardless of whether you represent a life sciences firm, a health insurance plan, a healthcare system, or a health IT service provider, MarketView can significantly enhance critical business processes such as marketing, sales, strategic planning, physician engagement, outreach, market research, network optimization, talent acquisition, pricing strategies, contracting, and clinical management, among others. To stay ahead in the competitive landscape, your organization requires the most relevant insights available. However, determining the right areas to focus on can be challenging when the overall picture lacks clarity. MarketView addresses this issue by providing insights into various aspects such as referral trends, strategies for aligning with physicians, the performance of clinically integrated networks, and patient volume metrics, ultimately empowering organizations to make informed decisions. By leveraging these insights, businesses can drive innovation and improve their operational effectiveness.

The agency's self-service platform integrates with all insurance providers, establishing itself as a leading technology solution for the independent agent (IA) sector. GloveBox serves as a unified mobile and web application that empowers insurance policyholders to easily access their policy documents, make payments, file claims, and perform a variety of other tasks, irrespective of the carriers associated with their policies. Its primary objective is to elevate the overall customer experience for insurance clients while simultaneously lowering service costs and boosting revenue for both agencies and insurers. This comprehensive platform effectively links clients to both their agency and the respective insurance carriers, offering a streamlined interface. Users can select from an extensive roster of insurance companies to manage their personal lines policies within GloveBox, and once a carrier is chosen, it becomes part of the user’s homepage, facilitating account registration or login. In addition, GloveBox features advanced automation capabilities to optimize client distribution and ensures a smooth in-app experience for users, making insurance management more efficient and accessible for everyone involved. This innovative approach not only simplifies interactions but also enhances overall satisfaction across the insurance landscape.

Order Ship Express is a free shipping app for Dynamics 365 Business Central. It offers seamless integration with major shipping carriers, real-time rates, and efficient labels printing. The app is ideal for retail outlets, Shopify merchants and businesses of any size. Order Ship Express reduces costs and improves communication with customers by using carrier rates negotiated through the company. Order Ship Express will revolutionize your shipping management with a streamlined experience. *Savings: Use negotiated carrier rates to reduce shipping costs. *Streamlined processes: Simplify the shipping management of businesses of any size, improving efficiency. *Optimized decision-making: Real-time shipping costs enable informed decisions about cost and service levels. *Convenience - Manage multiple carriers from a single platform. This reduces the need for separate shipping platforms. *Seamless Carrier Integration: Effortlessly connect with top carriers for a smooth shipping experience. *Real-time Shipping Rates: Access instant, live shipping rates for informed decision-making. *Flexible Carrier Account Options: Use your own carrier accounts or take advantage of built-in carrier accounts for discounts.

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.

Authorize, claim processing and payment are available at the point-of-care. Improve care coordination and improve outcomes for lower medical costs while streamlining administrative processes. Engage providers at point of care to share and capture data in real time, resulting in an unprecedented exchange of health information. We work with our clients to develop risk management strategies that produce better outcomes at lower costs. We aim to improve the user experience of everyone in the ecosystem. To optimize clients' resources, we deliver a minimum of a 3:1 ROI. Conexia has created a core technology platform (ONE), which can be customized to meet the different regulatory requirements and operational processes of each client in each geographic region. Our initial implementation is usually an overlay on the existing technology ecosystem of the payer to create real-time processes.