Medical Claims Integration
Aiming to streamline the experience from enrollment to engagement to help increase the value of supplemental benefits.
Claims Automation
Seamless Processing
Potentially increase utilization and improve retention while gaining access to game-changing insights.
Supplemental benefits are crucial in today’s competitive hiring marketplace, but many employers struggle with underutilization due to complexity, confusion, and lack of employee awareness of the resources available to them.
Claritev’s Medical Claims Integration solution harnesses the power of AI and our world-class data scientists to transform the employee experience — aiming to reduce complexity and identify potentially eligible claims. Our proactive approach to voluntary benefits can streamline every stage of the process, from employee notification to supplemental health carrier auto-payment with employer medical claims integration.
The result? Potentially increased employee engagement and retention, better insight clarity, and enhanced value of voluntary benefits.
How Claritev can simplify medical claims processing.
Our Medical Claims Integration solution automatically identifies when voluntary benefits may apply and can then deliver services automatically — all based on your policy guidelines and parameters — to provide simplicity.
Notify
Let policyholders know that their claims are eligible for payout and help them file a claim.
Auto-File
Receive additional details to start the supplemental claim on the policyholder’s behalf.
Auto-Pay
Receive additional details, including prediction confidence, to pay the claim with no policyholder action.
The potential impact of Claritev’s
Medical Claims Integration solution:
Increased Utilization
by making supplemental health benefits easier to manage and by prompting use.
Improved Retention
by increasing the value of supplemental health benefits to each employee.
Advanced Data Insights
in the form of new benchmarks, pattern identifications, and increased efficiency.
Enhanced Efficiency
by automating cumbersome manual tasks in order to speed up claims processing.
A New Competitive Advantage
that can empower employers to hire and retain top talent and brokers to win and retain new clients.
Engaging insights.
New ideas, vast experience, and fresh perspectives for the healthcare ecosystem.
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How can Claritev’s Medical Claims Integration solution help increase the value of supplemental benefits for you?
Learn how Claritev can deliver the objective, market-driven insight you need to help make the most complex decisions.