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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Product Info
Company Overview

Founded

2008-06-01

Employees

115

Funding Summary

None

Clients Your Size Clients Your Size

Clients size is Locked

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...
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Product Info
Company Overview

Founded

2019

Employees

85

Funding Summary

5M Seed Round

Clients Your Size Clients Your Size

Clients size is Locked

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
Product Info

Min. Group Size

100 eligible

Lives Serviced

1,000,000,000

Average Cost

Average Cost is Locked

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Not Provided.

Product Description

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
Company Overview
Product Info

Min. Group Size

1,000 eligible

Lives Serviced

-

Average Cost

Average Cost is Locked

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Not Provided.

Product Description

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
Company Overview
Product Info
Company Overview

Founded

06/2022

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

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.
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Product Info
Company Overview

Founded

2022

Employees

13,000

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

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
Product Info
Company Overview

Founded

July 1966

Employees

15,000

Funding Summary

None

Clients Your Size Clients Your Size

Clients size is Locked

About TELUS Health formerly LifeWorks (US) Ltd.

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
Product Info

Min. Group Size

2,500 eligible

Lives Serviced

330,000

Average Cost

Average Cost is Locked

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Not Provided.

Product Description

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...
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Company Overview
Product Info

Min. Group Size

-

Lives Serviced

110,000

Average Cost

Average Cost is Locked

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Product Features

Not Provided.

Product Description

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

Founded

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked
Product Info
Company Overview

Founded

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked
Product Info

Min. Group Size

-

Lives Serviced

-

Average Cost

Average Cost is Locked

0 RFI Questions Get access to vendor answered question RFIs.

RFI questions number is Locked

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Lock

Product Features

Not Provided.

Product Description

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
Company Overview
Product Info
Company Overview

Founded

2008

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

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
Product Info

Min. Group Size

-

Lives Serviced

-

Average Cost

Average Cost is Locked

0 RFI Questions Get access to vendor answered question RFIs.

RFI questions number is Locked

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Product Features

Not Provided.

Product Description

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
Company Overview
Product Info

Min. Group Size

-

Lives Serviced

-

Average Cost

Average Cost is Locked

0 RFI Questions Get access to vendor answered question RFIs.

RFI questions number is Locked

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Lock

Product Features

Not Provided.

Product Description

Springbuk Health Intelligence is built on a foundation of scalable data automation. We have standard data models to support data integration across all types of employee benefit programs - from claims and eligibility... Show More
Company Overview
Product Info

Min. Group Size

50 eligible

Lives Serviced

-

Average Cost

Average Cost is Locked

0 RFI Questions Get access to vendor answered question RFIs.

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Product Features

Not Provided.

Product Description

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...
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Company Overview
Product Info
Company Overview

Founded

1988

Employees

365

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About MedWatch, LLC

Established in 1988, MedWatch is a proven industry leader providing population health management and cost containment services nationwide to a wide variety of clients including TPAs, MGUs, stop loss carriers, employers, schools, hospital systems, Taft Hartley plans and fully insured payers.

MedWatch’s core services include Utilization, Case, and Disease Management which provide early identification, management and mitigation of the health and financial risks for our clients and plan members.

To address the ever-increasing list of costly pharmaceuticals that are available and prescribed today, MedWatch has an on-staff PharmD who is dedicated to...
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Product Info
Company Overview

Founded

2019

Employees

130

Funding Summary

105.7M Series C

Clients Your Size Clients Your Size

Clients size is Locked

About Nayya

The New Era in Employee Benefits.
Inspired by the end-employee. Powered by data. Join us in revolutionizing the way consumers experience group benefits.

Nayya drives benefits impact from enrollment to usage to re-enrollment. Nayya delivers on this impact through:
- Data infused personalization — bringing together data in order to surface hyper-relevant guidance at scale
- Optimized benefits spend — holistic solutions that balances healthcare needs and value with financial affordability
- Digital engagement expertise — drive ultimate benefit impact through intuitive, timely member experiences

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Product Info
Company Overview

Founded

1969

Employees

33,000

Funding Summary

4B Angel Round

Clients Your Size Clients Your Size

Clients size is Locked

About Sedgwick

Sedgwick brings comprehensive claims and productivity management solutions to a wide range of American businesses, from local employers to global corporations with U.S. roots. We offer the broadest array of integrated services available in the industry, delivered by our experienced, knowledgeable and dedicated colleagues in 80 countries around the globe. From our humble beginnings as a regional TPA in 1971, Sedgwick has grown to more than 33,000 professionals meeting the needs of North American businesses.
Our operational structure is divided into regional business units to ensure that each program is supported strategically by a senior-level management resource. Each...
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Product Info
Company Overview

Founded

2005

Employees

88

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About Advanced Medical Pricing Solutions (AMPS)

Turn to Advanced Medical Pricing Solutions (AMPS) for your healthcare cost management services and we will help you achieve meaningful and visible savings for your clients. Here at AMPS we utilize physicians to perform line-by-line audits on all claims we review. This will not only demonstrate an added level of commitment to your clients, it will add a new line of revenue to YOUR company at ZERO expense to you.
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