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

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... Show More
Amaze Health

Amaze Health

Reviews pending
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Company Overview

Founded

2019

Employees

85

Funding Summary

5M Seed Round

Clients Your Size Clients Your Size

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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
BMI Audit Services

BMI Audit Services

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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
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Benefitfocus

Benefitfocus

3.8 (3)
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Min. Group Size

1,000 eligible

Lives Serviced

-

Average Cost

Average Cost is Locked

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Product Features

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
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TELUS Health formerly LifeWorks (US) Ltd.

TELUS Health formerly LifeWorks (US) Ltd.

Reviews pending
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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
Wellnecity

Wellnecity

Reviews pending
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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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PlanYear

PlanYear

Reviews pending
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Founded

2022

Employees

13,000

Funding Summary

Not Provided

Clients Your Size Clients Your Size

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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
Broadspire Services, Inc.

Broadspire Services, Inc.

5.0 (1)
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Founded

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

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Budgie Health Inc.

Budgie Health Inc.

Reviews pending
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Min. Group Size

-

Lives Serviced

110,000

Average Cost

Average Cost is Locked

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Product Description

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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Agility Innovation Partners

Agility Innovation Partners

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Founded

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

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Dart Health

Dart Health

Reviews pending
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Company Overview

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
Businessolver

Businessolver

4.5 (9)
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Min. Group Size

-

Lives Serviced

-

Average Cost

Average Cost is Locked

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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
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MOBE

MOBE

Reviews pending
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Min. Group Size

5,000 eligible

Lives Serviced

-

Average Cost

Average Cost is Locked

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RFI questions number is Locked

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Lock

Product Features

Not Provided.

Product Description

MOBE analyzes historical claims data (pharmacy, medical and eligibility) to identify the unique segment of an employer’s population that are long-term, frequent users of healthcare services, but are struggling (based on health care... Show More
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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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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
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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

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
MedWatch, LLC

MedWatch, LLC

Reviews pending
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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... Show More
MedBill Management

MedBill Management

Reviews pending
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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

0 Specific Questions Specific Questions

Lock

Product Features

Not Provided.

Product Description

>>>Every self-funded medical plan should invest in a comprehensive Medical Claims Audit to evaluate the accuracy of claims processing and identify areas where corrective action is necessary. Error rates in healthcare range from... Show More
Company Overview
Sedgwick

Sedgwick

Reviews pending
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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... Show More
Springbuk

Springbuk

Reviews pending
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Company Overview

Founded

January 2015

Employees

90

Funding Summary

17M Angel Round

Clients Your Size Clients Your Size

Clients size is Locked

About Springbuk

Imagine a world where every healthcare and benefits program decision is backed and guided by data. Springbuk is the health data analytics solution that equips you with the insights and expertise you need to sharpen your benefits strategy, advance employee health, and contain costs. Unlike legacy data warehouses, we simplify data-driven decision-making with an intuitive user experience, predictive modeling, and curated action steps. Springbuk — a world of actionable health intelligence insight, at your fingertips. Visit springbuk.com to learn more. Show More
Advanced Medical Pricing Solutions (AMPS)

Advanced Medical Pricing Solutions (AMPS)

Reviews pending
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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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