Technology & Cost Management

“Implementing the latest technology and innovative cost management strategies allows us to best manage our client’s health care dollars.”

INVESTIGATE™ – Limit liability and plan cost with the industry’s most comprehensive, cutting-edge fraud and billing abuse detection software powered by our partner TC3. These proven and proprietary services detect and report healthcare fraud and billing abuse and deliver reductions in total claims costs of up to 6%.

INSIGHT™ – This powerful reporting tool empowers consultants by providing insight into past performance while helping to predict future behavior with industry leading data analytics and predictive modeling. Online access to claims data including standard and ad hoc reporting utilizes data resources and experiences and applies them to existing claims in order to identify potential issues through common attributes.

NON-NETWORK CLAIM DISCOUNT PROGRAM – Reduce out-of-pocket costs to plan participants with discounts on non-network claims, through one of our secondary network partners with no delay in claim payment. This program has resulted in an average savings of over $1,000,000 per year across our client base.