Stop Loss Claim Filing

Merging our team’s expertise with specialized stop loss technology to ensure seamless filing of stop loss claims on your behalf, instilling trust and confidence in what we do.

We differentiate ourselves from competitors who simply offer a standalone technology solution and leave you to navigate the process alone. Instead, our dedicated staff takes over the responsibility of executing stop loss claim filing on your behalf, ensuring a smooth and hassle-free experience for you.

Integrated TPA & PBM Data Feeds, Robust Stop Loss Policy Integration, Advanced Claim Analytics And Much More.

  • Supporting even the most challenging stop loss contracts: aggregating specific, lasers, aggregate accommodation, domestic claim contracts, etc.
  • Leveraging aggregate reporting capabilities to ensure all fees are included in claim submissions
  • Reconciling claims and fees to aggregate reporting and stop loss reporting integrated into our platform
  • Healthcare Reporting is the driving technology used by the majority of the stop loss general agent marketplace
  • Our Team + Technology approach truly takes the workload off our of TPA clients
  • Processed oriented approach coordinates the timing of various TPA and PBM data file feeds
  • Notification process and Trigger reports are leveraged from Self Insured Reporting, our industry leading reporting & analytics platform
  • Book of Business tracking via dashboard

140+ TPAs & PBMs

Integrations via our Claim Reporting & Analytics Platform

Fee Inclusion

Accounting for the various fees to ensure claim inclusion

Team + Technology Approach

 

Our team takes over the work of executing stop loss claim filing on your behalf, ensuring a smooth and hassle-free experience for you.

Block Dashboards

Real-time, block of business reimbursements

Stop Loss

Optimization

Leveraging cost containment to impact to stop loss