Healthcare Claims Data Analytics

Easily navigate the crowded vendor landscape

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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Rachel B

HR Director

Vendor Banner Healthcare Claims Data Analytics Q2  2024

Q2 June 2024: Winners

Top 0 Healthcare Claims Data Analytics

List of the top 0 Healthcare Claims Data Analytics in Shortlister as of June 2024, presented in the order they appear in the full Vendor Listing tab.

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    Features

    • Global Capabilities
    • iOS Native Application
    • Android Native Application
    • Responsive Design
    • GDPR Compliant
    • SSAE 18 / SOC Audit(s) Performed
    • NCQA Accredited / Certified
    • 3rd Party Integrations
    • URAC Accredited
    39 Vendors
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    4.1 (39 reviews)
    Full Reviews Breakdown

    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... View Full Profile

    Employees
    90
    Lives Serviced
    2,100,000
    Funding
    None
    Minimum Group Size
    No Minimum
    Features
    3rd Party Integrations
    Android Native Application
    GDPR Compliant
    Top Offerings
    Wellness Platform
    Corporate Wellness Consultants
    Health Coaching
    Average Cost
    - - -
    Key Clients
    - - -
    Clients Your Size
    - - -
    Reviews pending
    Full Reviews Breakdown

    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... View Full Profile

    Employees
    15000
    Lives Serviced
    26,000,000
    Funding
    None
    Minimum Group Size
    No Minimum
    Features
    3rd Party Integrations
    Android Native Application
    Dashboard analytics
    Top Offerings
    Benefits Administration
    Leave / Absence Management
    Pension Plan
    Average Cost
    - - -
    Key Clients
    - - -
    Clients Your Size
    - - -
    Reviews pending
    Full Reviews Breakdown

    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 ... View Full Profile

    Employees
    85
    Lives Serviced
    50,000
    Funding
    5M Seed Round
    Minimum Group Size
    No Minimum
    Features
    3rd Party Integrations
    Android Native Application
    GDPR Compliant
    Top Offerings
    Primary Care – Virtual Care
    Patient Advocacy
    Clinical Navigation / Care Coordination
    Average Cost
    - - -
    Key Clients
    - - -
    Clients Your Size
    - - -
    3.8 (3 reviews)
    Full Reviews Breakdown

    Benefitfocus

    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... View Full Profile

    Employees
    1209
    Lives Serviced
    25,000,000
    Funding
    Not Provided
    Minimum Group Size
    No Minimum
    Features
    3rd Party Integrations
    Android Native Application
    Dashboard analytics
    Top Offerings
    Benefits Administration
    ACA Management
    Claims Analytics
    Average Cost
    - - -
    Key Clients
    - - -
    Clients Your Size
    - - -
    Reviews pending
    Full Reviews Breakdown

    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... View Full Profile

    Employees
    13000
    Lives Serviced
    19,500
    Funding
    Not Provided
    Minimum Group Size
    250 eligible
    Features
    3rd Party Integrations
    Android Native Application
    Dashboard analytics
    Top Offerings
    Administrative Services
    Digital Member Communications
    Claims Analytics
    Average Cost
    - - -
    Key Clients
    - - -
    Clients Your Size
    - - -
    Reviews pending
    Full Reviews Breakdown

    Budgie Health Inc.

    Use our underlying analytics engine to model endless plan design and contribution scenarios and evaluate the employee-level financial impact... View Full Profile

    Employees
    6
    Lives Serviced
    Not Provided
    Funding
    3.2M Angel Round
    Minimum Group Size
    No Minimum
    Features
    3rd Party Integrations
    Android Native Application
    Dashboard analytics
    Top Offerings
    Benefits Decision Support
    Benefits Navigation Platform
    Claims Analytics
    Average Cost
    - - -
    Key Clients
    - - -
    Clients Your Size
    - - -

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    Full Reviews Breakdown

    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 ... View Full Profile

    Employees
    Not Provided
    Lives Serviced
    150,000
    Funding
    Not Provided
    Minimum Group Size
    No Minimum
    Features
    3rd Party Integrations
    Third-party integrations
    Top Offerings
    HIPAA & HITECH Consulting
    Average Cost
    - - -
    Key Clients
    - - -
    Clients Your Size
    - - -
    Reviews pending
    Full Reviews Breakdown

    MyChoice Accounts by Businessolver

    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 ... View Full Profile

    Employees
    1400
    Lives Serviced
    700,000
    Funding
    Not Provided
    Minimum Group Size
    No Minimum
    Features
    3rd Party Integrations
    Android Native Application
    Dashboard analytics
    Top Offerings
    Health Care Flexible Spending Account (FSA)
    Health Savings Account (HSA)
    Health Reimbursement Arrangement (HRA)
    Average Cost
    - - -
    Key Clients
    - - -
    Clients Your Size
    - - -
    3.2 (11 reviews)
    Full Reviews Breakdown

    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 ... View Full Profile

    Employees
    Not Provided
    Lives Serviced
    5,500,000
    Funding
    Not Provided
    Minimum Group Size
    500 eligible
    Features
    3rd Party Integrations
    Dashboard analytics
    Employee self-service
    Top Offerings
    Benefits Administration
    Employee Engagement Platform
    Benefits Decision Support
    Average Cost
    - - -
    Key Clients
    - - -
    Clients Your Size
    - - -
    Reviews pending
    Full Reviews Breakdown

    MOBE

    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 behavior versus cost/risk/... View Full Profile

    Employees
    250
    Lives Serviced
    110,000
    Funding
    Not Provided
    Minimum Group Size
    5000 eligible
    Features
    3rd Party Integrations
    Android Native Application
    GDPR Compliant
    Top Offerings
    Health Coaching
    Weight Management
    Chronic Condition / DM
    Average Cost
    - - -
    Key Clients
    - - -
    Clients Your Size
    - - -
    Reviews pending
    Full Reviews Breakdown

    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 ... View Full Profile

    Employees
    90
    Lives Serviced
    3,000,000
    Funding
    17M Angel Round
    Minimum Group Size
    No Minimum
    Features
    3rd Party Integrations
    Responsive Design
    SSAE 18 / SOC Audit(s) Performed
    Top Offerings
    Data Analytics
    Business Intelligence
    Data Visualization
    Average Cost
    - - -
    Key Clients
    - - -
    Clients Your Size
    - - -
    Reviews pending
    Full Reviews Breakdown

    Cardio Diagnostics

    HeartRisk Employers can opt to import their claims and spend data; this is particularly critical for self-funded employers who want to analyze the status and evolution of coronary heart disease risk among their population both prospectively (epigenetic ... View Full Profile

    Employees
    Not Provided
    Lives Serviced
    Not Provided
    Funding
    Not Provided
    Minimum Group Size
    20 eligible
    Features
    3rd Party Integrations
    Third-party integrations
    Top Offerings
    Cardiovascular Health
    Business Intelligence
    Health Risk Assessment
    Average Cost
    - - -
    Key Clients
    - - -
    Clients Your Size
    - - -
    Reviews pending
    Full Reviews Breakdown

    Garner Health

    Garner is a simple plan addition that uses data science and incentive accounts to drive employees to receive care from the best-performing doctors. This unique model allows brokers to easily deliver improved quality and guaranteed savings for any plan, without... View Full Profile

    Employees
    200
    Lives Serviced
    Not Provided
    Funding
    45M Series B
    Minimum Group Size
    50 eligible
    Features
    3rd Party Integrations
    Android Native Application
    iOS Native Application
    Top Offerings
    Clinical Navigation / Care Coordination
    Healthcare Transparency Solutions
    Health Reimbursement Arrangement (HRA)
    Average Cost
    - - -
    Key Clients
    - - -
    Clients Your Size
    - - -
    4.7 (5 reviews)
    Full Reviews Breakdown

    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 ... View Full Profile

    Employees
    130
    Lives Serviced
    2,000,000
    Funding
    105.7M Series C
    Minimum Group Size
    No Minimum
    Features
    3rd Party Integrations
    Android Native Application
    Dashboard analytics
    Top Offerings
    Benefits Decision Support
    Average Cost
    - - -
    Key Clients
    - - -
    Clients Your Size
    - - -
    Reviews pending
    Full Reviews Breakdown

    Verifi1

    Our Medical and Pharma Claims Process uses AI technology to review claims, learn patterns in claims files and develop responses to help employers reduce their retrospective claims expense. We can also review claims data and report which claims should be paid ... View Full Profile

    Employees
    21
    Lives Serviced
    100,000
    Funding
    Not Provided
    Minimum Group Size
    No Minimum
    Features
    3rd Party Integrations
    Android Native Application
    Global Capabilities
    Top Offerings
    Dependent Eligibility Service
    Claims Analytics
    Average Cost
    - - -
    Key Clients
    - - -
    Clients Your Size
    - - -
    Reviews pending
    Full Reviews Breakdown

    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 ... View Full Profile

    Employees
    88
    Lives Serviced
    Not Provided
    Funding
    Not Provided
    Minimum Group Size
    1000 eligible
    Features
    3rd Party Integrations
    Dashboard analytics
    Employee self-service
    Top Offerings
    Reference Based Pricing (RBP)
    Pharmacy Benefit Manager (PBM)
    Subrogation Recovery & Audit solutions
    Average Cost
    - - -
    Key Clients
    - - -
    Clients Your Size
    - - -
    Reviews pending
    Full Reviews Breakdown

    Lucent Health

    Lucent Health is a leading third-party administrator serving the self-insured employer market, with a fully integrated care management solution. Lucent Health is human focused and data driven, with plan administration, patient care programs and cost controls ... View Full Profile

    Employees
    196
    Lives Serviced
    Not Provided
    Funding
    Not Provided
    Minimum Group Size
    50 eligible
    Features
    3rd Party Integrations
    Android Native Application
    Dashboard analytics
    Top Offerings
    Administrative Services Outsourcing (ASO)
    Concierge Service
    Claims Analytics
    Average Cost
    - - -
    Key Clients
    - - -
    Clients Your Size
    - - -
    Reviews pending
    Full Reviews Breakdown

    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, ... View Full Profile

    Employees
    33000
    Lives Serviced
    35,800,000
    Funding
    4B Angel Round
    Minimum Group Size
    No Minimum
    Features
    Top Offerings
    Disability Insurance
    Claims Analytics
    Healthcare Third Party Administrator
    Average Cost
    - - -
    Key Clients
    - - -
    Clients Your Size
    - - -
    4.0 (2 reviews)
    Full Reviews Breakdown

    UMR

    UMR is a third-party administrator (TPA), hired by your employer, to help ensure that your claims are paid correctly so that your health care costs can be kept to a minimum and you can focus on well-being. UMR is not an insurance company. Your employer pays ... View Full Profile

    Employees
    Not Provided
    Lives Serviced
    Not Provided
    Funding
    Not Provided
    Minimum Group Size
    No Minimum
    Features
    Top Offerings
    Average Cost
    - - -
    Key Clients
    - - -
    Clients Your Size
    - - -
    Reviews pending
    Full Reviews Breakdown

    Crumdale Partners

    Crumdale Partners is a diversified insurance firm providing custom, self-funded healthcare solutions to a bespoke set of brokers, consultants, and agents nationwide. We optimize the fragmented health benefits supply chain to reduce health benefit costs and ... View Full Profile

    Employees
    Not Provided
    Lives Serviced
    Not Provided
    Funding
    Not Provided
    Minimum Group Size
    No Minimum
    Features
    3rd Party Integrations
    Android Native Application
    Dashboard analytics
    Top Offerings
    Emerging Products
    Pharmacy Benefit Group Purchasing Coalition
    Stop Loss Coverage
    Average Cost
    - - -
    Key Clients
    - - -
    Clients Your Size
    - - -