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

90

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
TELUS Health formerly LifeWorks (US) Ltd.

TELUS Health formerly LifeWorks (US) Ltd.

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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
Amaze Health

Amaze Health

Reviews pending
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Company Overview

Founded

2019

Employees

85

Funding Summary

5M Seed Round

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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
Benefitfocus

Benefitfocus

3.8 (3)
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Min. Group Size

-

Lives Serviced

-

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Average Cost is Locked

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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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Agility Innovation Partners

Agility Innovation Partners

Reviews pending
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Founded

Employees

Funding Summary

Not Provided

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PlanYear

PlanYear

Reviews pending
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Founded

2022

Employees

13,000

Funding Summary

Not Provided

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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
Budgie Health Inc.

Budgie Health Inc.

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Min. Group Size

-

Lives Serviced

110,000

Average Cost

Average Cost is Locked

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Product Features

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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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PlanSource Benefits Administration, Inc.

PlanSource Benefits Administration, Inc.

3.2 (11)
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Founded

2008

Employees

Funding Summary

Not Provided

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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
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
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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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

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Min. Group Size

5,000 eligible

Lives Serviced

-

Average Cost

Average Cost is Locked

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Product Features

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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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Garner Health

Garner Health

Reviews pending
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Min. Group Size

50 eligible

Lives Serviced

-

Average Cost

Average Cost is Locked

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Product Features

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Product Description

Finally, a platform that solves the challenge of delivering accurate and comprehensive provider referrals. Garner DataPro serves referrals based on the most detailed provider performance and directory data in the industry.
By... Show More
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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
Cardio Diagnostics

Cardio Diagnostics

Reviews pending
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Min. Group Size

20 eligible

Lives Serviced

-

Average Cost

Average Cost is Locked

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Product Features

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Product Description

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... Show More
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Cotiviti

Cotiviti

Reviews pending
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Company Overview

Founded

2004

Employees

8,573

Funding Summary

Not Provided

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About Cotiviti

Cotiviti is a leading solutions and analytics company that is reshaping the economics of healthcare, helping its clients uncover new opportunities to unlock value. Cotiviti’s solutions are a critical foundation for healthcare payers in their mission to lower healthcare costs and improve quality through higher performing payment accuracy, quality improvement, risk adjustment, and network performance management programs. The company also supports the retail industry with data management and audit services that improve business outcomes. Show More
Nayya

Nayya

4.7 (5)
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Company Overview

Founded

2019

Employees

130

Funding Summary

105.7M Series C

Clients Your Size Clients Your Size

Clients size is Locked

About 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 through:
- Data infused personalization — bringing together data in order to surface hyper-relevant guidance at scale
- Optimized benefits spend — holistic solutions that balances healthcare needs and value with financial affordability
- Digital engagement expertise — drive ultimate benefit impact through intuitive, timely member experiences

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Crumdale Partners

Crumdale Partners

Reviews pending
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Company Overview

Founded

2014

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About 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 create better outcomes for employers and employees. We sell integrated and unbundled solutions to brokers looking for flexibility in their self-funded and level-funded health plans, pharmacy benefits, stop-loss, actuarial and compliance needs.­ Show More
Verifi1

Verifi1

Reviews pending
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Product Info

Min. Group Size

-

Lives Serviced

15,000

Average Cost

Average Cost is Locked

0 RFI Questions Get access to vendor answered question RFIs.

RFI questions number is Locked

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Lock

Product Features

Not Provided.

Product Description

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... Show More
Company Overview
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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Earnix

Earnix

Reviews pending
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Company Overview

Founded

2001

Employees

Funding Summary

Not Provided

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Clients size is Locked

About Earnix

Global provider of Intelligent Insurance and Banking Operations through agile, composable and real-time solutions.
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