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GUIDANCE AND SUPPORT FOR YOUR EMPLOYEES

Our team of experts provide a hands-on approach to answer member questions and help them navigate their benefits. This support empowers them to have a more educated conversation when working with providers. 

 

 

 

 

 

 

 

 

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MEMBER ADVOCACY

We provide a single point of contact for concierge-style member services for administrative support, benefit education and claims advocacy, and healthcare system referrals. 

 

OTHER MEMBER ADVOCACY SERVICES INCLUDE

  • Bill review and support
  • Resolving claims issues
  • Integration with other services
  • Assistance with enrollment

 

 

 

CLINICAL ADVOCACY

Knowing treatment options and having the right information is crucial for your members. The choice is theirs – we support them making an informed decision. 

 

ADVOCACY HELPS MEMBERS

 

•   Learn about their health and understand their health conditions

•   Understand the pros and cons of different treatment options

•   Have informed conversations with their healthcare provider

•   Identify in-network facilities that provide highest quality of treatment

 

GET STARTED

 

RELATED PRODUCTS

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CONDITION MANAGEMENT

This program integrates wellness and medical management so your participants have a one-stop resource.

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CASE MANAGEMENT

A collaborative process that assists members with options and services for catastrophic and complex cases.

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UTILIZATION MANAGEMENT

Outreach from a dedicated Registered Nurse ensures evidence-based, clinical guidelines are applied to each request.

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