Healthcare Claims Data Analytics

Claims analytics & reporting companies offer data tools for analyzing healthcare claims and related data, helping employers understand risk, identify cost drivers, and more.
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Wellworks For You

Wellworks For You

4.1 (39)
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Company Overview

Founded

2008-06-01

Employees

115

Funding Summary

None

Clients Your Size Clients Your Size

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About Wellworks For You

Wellworks For You provides wellness services to companies of all sizes, governments, resellers, and individuals throughout the world.

Wellworks For You was created as a vehicle to assist employers in designing and implementing a comprehensive wellness program. We recognize that healthy minds and healthy bodies are the catalyst to a successful working environment.

Corporate wellness programs have a proven track record of Return on Investment (ROI). The pitfall of many programs is that they are still one-dimensional, not personalized, and passive with minimal participation. The Wellworks For You Program commits to a strong focus... Show More
BMI Audit Services

BMI Audit Services

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Min. Group Size

100 eligible

Lives Serviced

1,000,000,000

Average Cost

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BMI's medical and pharmacy claims audit services are designed to uncover what dollars are being spent on for self-insured benefits plans. Our processes provide a detailed review of claims data to confirm that... Show More
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Reclaim Health

Reclaim Health

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Min. Group Size

1,000 eligible

Lives Serviced

1,500,000

Average Cost

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Reclaim’s AI-powered, claims-driven healthcare financial advocacy solution delivers year-round monitoring of all claims (small and large) and provides human supported proactive financial advocacy, claims-driven benefits recommendations, and robust claims data analytics.
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Amaze Health

Amaze Health

Reviews pending
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Founded

2019

Employees

85

Funding Summary

5M Seed Round

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About Amaze Health

Amaze provides education, tools and resources, including a world-class virtual medical service that ensures every American has their own independent medical partner. Our motto is One Partner, One Platform, One Name to Trust because we combine everything from telemedicine to EAP, workplace injury triage, mental health, and wellness into a single platform with a single partner that's always available and easy to access. The result is lower costs, better care, and an Amazing experience. Show More
Innovu

Innovu

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Founded

2014

Employees

85

Funding Summary

Not Provided

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About Innovu

Innovu is dedicated to helping advisors and their clients stay ahead of the curve regarding benefits strategy. Our SAAS platform and comprehensive menu of targeted solutions have been thoughtfully designed to help you optimize human capital risk management, health benefit design, and procurement through fully integrated claims data, predictive analytics, and health information insights. With Innovu, you'll not only be able to drive savings opportunities for your clients, but you'll also be able to provide financial reporting and tools for plan sponsors to adhere to the Consolidated Appropriations Act. Additionally, you can dive deep into the available data through the... Show More
Sterling Wellness Solutions, L.L.C.

Sterling Wellness Solutions, L.L.C.

3.1 (6)
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Founded

2001

Employees

50

Funding Summary

None

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About Sterling Wellness Solutions, L.L.C.

At Sterling Wellness Solutions, we believe that health and well-being are the foundation for a fulfilling life. Our total approach to employee wellbeing provides innovative and personalized solutions that empower individuals and organizations to achieve their health goals. We are committed to a holistic approach that considers the physical, mental, and emotional aspects of health, and we believe that preventive care is key to a healthy lifestyle. Our values of integrity, empathy, collaboration, and innovation guide us as we create a culture of wellness that inspires individuals to take control of their health. With our expertise and support, we strive... Show More
Benefitfocus

Benefitfocus

3.8 (3)
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Min. Group Size

1,000 eligible

Lives Serviced

-

Average Cost

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Integrated benefit claims data for analytics to help shape, manage and measure benefit strategy. Includes services to identify claim errors and recover overpayments on behalf of the plan sponsor. Show More
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PlanYear

PlanYear

Reviews pending
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Founded

2022

Employees

13,000

Funding Summary

Not Provided

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About PlanYear

PlanYear is a comprehensive benefits solution built for benefits consultants, employers and employees throughout the benefits lifecycle. We help benefits consultants scale their workflows, empower employers to make their mark, and elevate employee experience. Show More
Budgie Health Inc.

Budgie Health Inc.

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Min. Group Size

-

Lives Serviced

110,000

Average Cost

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Use our underlying analytics engine to model endless plan design and contribution scenarios and evaluate the employee-level financial impact. Show More
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MotivHealth

MotivHealth

Reviews pending
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Founded

2015

Employees

315

Funding Summary

Not Provided

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About MotivHealth

MotivHealth—We are creatively solving the high-cost of healthcare by focusing on our members and their care needs. We believe the answer to rising healthcare costs is to create motivated healthcare consumers and offer them a suite of integrated cost-saving solutions. For instance, our SmartPay program helps members compare prices before receiving care, and our RX Assistance approach likewise significantly saves our members on pharmacy costs. Our focus is our members and their companies, and the MotivHealth mission is to keep our members motivated to make smart choices which result in lower costs and exceptional care.
When employers are motivated... Show More
TELUS Health

TELUS Health

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Founded

July 1966

Employees

15,000

Funding Summary

None

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About TELUS Health

TELUS Health is a leading provider of technology-enabled HR services that deliver an integrated approach to employee wellbeing through our cloud-based platform. Our focus is providing world-class solutions to our clients to support the mental, physical, social and financial wellbeing of their people. By improving lives, we improve business. Our approach spans services in employee and family assistance, health and wellness, recognition, pension and benefits administration, retirement consulting, actuarial and investment services. TELUS Health employs approximately 10,000 employees who work with approximately 30,000 client organizations that use our services in over 160 countries. Effective September 1, 2022, LifeWorks was acquired... Show More
Wellnecity

Wellnecity

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Min. Group Size

2,500 eligible

Lives Serviced

330,000

Average Cost

Average Cost is Locked

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Wellnecity's Smart Hub transforms your self-funded health plan into a high-performing asset by effortlessly integrating key vendors and various point solutions, ensuring transparency and accountability.

Wellnecity’s Smart Hub integrates member-level... Show More
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Agility Innovation Partners

Agility Innovation Partners

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Founded

Employees

Funding Summary

Not Provided

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Broadspire Services, Inc.

Broadspire Services, Inc.

5.0 (1)
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Founded

Employees

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Not Provided

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Dart Health

Dart Health

Reviews pending
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Founded

06/2022

Employees

Funding Summary

Not Provided

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About Dart Health

Dart Health exists to connect healthcare benefits businesses to employee data for eligibility, claims, programs, enrollments, and more.

We shorten employer data onboarding timelines, and lower the total operating cost for any service provider. Our Data Nexus is a scalable, enterprise-capable SaaS solution that receives and processes data from flat files, CSVs, APIs, and more with error handling built in, designed specifically for the employer health and benefits market.

Never again ask "what is your data file format?" Don’t get trapped in the data engineering business. That’s our job. Show More
MyChoice Accounts by Businessolver

MyChoice Accounts by Businessolver

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Min. Group Size

-

Lives Serviced

-

Average Cost

Average Cost is Locked

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Businessolver partners with MultiPlan to offer additional analytics and optimization capabilities for our clients. MultiPlan's system takes employers’ existing healthcare data and combines it with predictive modeling to provide specific medical plan recommendations... Show More
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PlanSource Benefits Administration, Inc.

PlanSource Benefits Administration, Inc.

3.2 (11)
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Founded

2008

Employees

Funding Summary

Not Provided

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About PlanSource Benefits Administration, Inc.

PlanSource automates and streamlines every aspect of employee benefits programs, so HR teams can spend less time on ben admin tasks and more time where it really matters. Our powerful platform configurability, strong industry partnerships and relentless commitment to creating wildly successful customers is why more than 5,000 employers and 7.5 million consumers trust PlanSource for their benefits. Show More
Businessolver

Businessolver

4.5 (9)
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Min. Group Size

-

Lives Serviced

-

Average Cost

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Businessolver partners with MultiPlan to offer additional analytics and optimization capabilities for our clients. MultiPlan's system takes employers’ existing healthcare data and combines it with predictive modeling to provide specific medical plan recommendations... Show More
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Cardio Diagnostics

Cardio Diagnostics

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Min. Group Size

20 eligible

Lives Serviced

-

Average Cost

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Utilizing Claims Data for Cardiovascular Risk Management
• Early Risk Identification: Claims data helps pinpoint employees at higher risk for cardiovascular disease based on medical history, prescription use, and past healthcare utilization. Show More
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Garner Health

Garner Health

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Min. Group Size

50 eligible

Lives Serviced

-

Average Cost

Average Cost is Locked

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Finally, a platform that solves the challenge of delivering accurate and comprehensive provider referrals. Garner DataPro serves referrals based on the most detailed provider performance and directory data in the industry.
By... Show More
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