Plan + Member Savings Solution
Member Savings Solution
We save money for both the employer and member by intercepting claims pre-adjudication. We charge a percentage of savings.
A group is a good fit if it:
• Uses an independent TPA, and;
• Uses a non-Cigna/United Health network
We save money for only the member by intercepting claims post-adjudication. We charge a PEPM.
A group is a good fit if it:
• Uses a BUCA ASO as their TPA, or;
• Uses the Cigna/United Health network, or;
• Is fully insured, or;
• Is networkless (cash pay, associations, healthshares)
