Our comprehensive range of services helps payors contain costs, manage and track healthcare expenditure, minimize administrative work, identify waste or abuse in their systems and support the development of plans and programs that enable effect, high-quality care.
Our comprehensive range of third party administration services include issuance of guarantee letters, eligibility verification, inpatient and outpatient claim processing, schedule of benefits management and more.
We can help you explore opportunities to increase efficiency and ensure there are no instances of inaccuracy, overservicing, and overcharging by managing your:
These solutions integrate a range of services and cutting-edge technology to make it easy for members to adopt lifestyle habits that help them manage or even prevent disease onset.
Our MiCare mobile app allows members to track their personal claim information, search and view panel providers, download health and wellness information and track their daily exercise all on their mobile phones.
Our specialists analyze claims utilization, procedure, medication, and patient platform costs to generate comprehensive member health insights. These insights are then used to develop the plan and benefits to deliver the most effective care within the lowest cost base.
Our Payor Services leverage our expertise to develop solutions that meet your needs.
Our eMyMedS suite is one example that combines intervention measures with claim and cost processing. We provide payors, corporates, members, manufacturers, and providers with the information they need in one accessible location.
