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Advocacy

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What's Included?

Health Advocates work with healthcare providers, insurance plans and other health-related organizations to resolve complex clinical and admin issues for patients – saving time, money, and worry. Our team of trained Personal Health Advocates are skilled at deciding the right course of treatment, understanding care options, and resolving billing issues. We work with each member to meet their unique needs. Employees simply reach out to us when they have an issue and we take it from there. Using your claims, biometrics, and other data we will uncover health risks and gaps in care within your population – enabling us to customize and target outreach while empowering our experts to coach your members at the point of contact.

Capability Description
Care Navigation Health system navigation and care coordination to make the right care choices, understand options, and remove stress
Bill Negotiation Assistance negotiating fees with healthcare providers
Physician Search Identifying leading health institutions, Centers of Excellence, and medical provider
Coverage Review Explanation of coverage and alternative coverage options
Rx Assistance Help with issues including formulary and benefit questions
Personalized Navigation

Tailored approach to helping each individual navigate the complexities of the healthcare system, based on their specific needs.

Care Quality & Outcomes

Health advocates help individuals become smarter healthcare consumers by optimizing their networks with high-quality, cost-effective care.

Cost Optimization

Skilled negotiators review medical bills, resolve errors, and obtain discounts and payment enhanced arrangements.

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Reimagining Digital Healthcare

How can you help your clients navigate complex healthcare issues?  Our accomplished team of Personal Health Advocates, highly trained clinical, benefits, and claims experts, are skilled at working with healthcare providers, insurance plans, and other health-related organizations to resolve complex issues and help employees get the right care at the right time. Ease Human Resources burden -Increase employee productivity and retention.  Our award-winning advocacy program reduces claims costs, grievances, appeals and identifies gaps in care.

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Product Features

Care Navigation
Bill Negotiation
Physician Search
Coverage Review
Rx Assistance

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