Welcome to HCAA’s Annual Digital Sponsorship Guide. We at HCAA have had an amazing trajectory of successful conference events. We know this success could not have happened without the partnership of our sponsors. Since its inception in 2020, our Digital Guide has focused on providing another opportunity for our amazing Sponsor Partners to let you know about their very valuable products and services.
We invite you to please take time to use it to find out more about what they offer! Remember, here at HCAA, it is always about “the value of connection”!
Carol Berry, HCAA CEO
Susan Crolla, VP of Events and Vendor Relationships
Jordan Lacer, Association Services Coordinator
Sponsorship Guide
Optimize Your Plan
At 6 Degrees Health, we’re transforming RBP and healthcare cost containment. Our service-first philosophy provides members with a superior healthcare experience, delivering up to 40% incremental savings compared to traditional network plans.
With our customizable cost containment solutions, employers take control of their healthcare spending and create sustainable and affordable plans for their employees.
Ultimate RBP Solution
› Facility & Professional Claims Repricing with ProPlus (physician only network)
› MediShield legal support combined with co-fiduciary responsibility to lower average claim spend and protect members
› Industry Leading Payment Integrity Program to attack large claims with clinical expertise
› Stop-loss may provide coverage for life of claim 136%
Avg. Final Medicare Reimbursement Rate
The RBP Experience — It Matters
Streamlined Implementation Process
Minimize disruption with full vendor integration and our two-phase OnRamp program.
MediVI Member App
Our MediVI technology is an AI-powered platform that gives your members the power of choice. Empower your members with customized provider search and live case support.
Call Ahead Provider Outreach
Our Call Ahead Program helps members quickly connect with a new physician or healthcare practitioner, ensuring seamless access to care.
Contact us to find out how you can save your client up to 40% incremental savings on their healthcare spend!
A&G Healthcare has been in the payment integrity industry since the 90s–decades of experience, translating to millions of dollars in savings.
We’re dedicated to providing the best in class services within our tangled up healthcare system. With a mix of customizable backend tools and one-on-one personalized support, we’re developing client-driven solutions for:
• Health Plans
• Third Party Administrators
• Self-Insured Organizations
• Unions
• Health Share Organizations
• Re-insurers
The A&G Difference..
We’re more than just a partner in processing, but your advocate. All of our services are backed by customer service, reconciliation, and provider relations team to mitigate the typical headaches of provider pushback.
Adjudication System Integration
We’re partnered with most major adjudication systems such as Eldorado HEALTHpac & Javelina, Ebix Health LuminX, WLT, Cognizant TriZetto, VBA, and more. This means les can be turned around quickly to your own system with the format you expect, as well as minimal to no impact to your existing work ow.
Implementation
We customize each case, so you can be con dent that connectivity will be as smooth and e cient as possible. Leave the heavy-lifting to us so you can get back to what matters most.
Empowering Healthcare
Welcome to Advanced Medical Pricing Solutions (AMPS), a leader in healthcare cost containment with over 18 years of experience. We guide organizations through their healthcare cost savings journey with a personal approach. Our solutions focus on reducing medical and pharmacy costs, ensuring member satisfaction and promoting affordable and transparent healthcare. Through data auditing and detailed analytics, AMPS delivers “fair for all” pricing, advocating for fair compensation and envisioning a future of just and sustainable healthcare.
1,700+
$33 PMPM (Drexi)
RBP CLIENTS SERVED $2.25+ BILLION SAVINGS FOR CLIENTS & MEMBERS 29% AVERAGE PLAN SAVINGS OVER PPO 98.7% ACCEPTANCE RATE 92% GDR (Drexi)
Suite of Solutions
At AMPS, we cater to a diverse range of clients, including self-funded employer groups, brokers, consultants, thirdparty administrators, reinsurers, health plans, health systems, health shares, Taft-Hartley funds and associations. We pride ourselves on meeting our customers where they are, offering the best cost-saving opportunities available.
CLAIMINSIGHT
- Offers a Payment Policy library and rules engine delivered through our automated editing capability.
- Systematic execution of policies and rules at a lower administrative cost.
AMPS RBP
- Combined with our unique Stop Loss placement service, AMPS RBP delivers the lowest net cost in the industry.
- Access custom networks and wraps, Member Advocacy, Provider Relations, Care Navigation and more.
- A one-stop solution for cost savings without compromising quality benefits.
DREXI
- Our fully transparent and conflict free model, Drexi operates on a PMPM model.
- Drexi owns a fully integrated cost containment solution offering PAP, International, and 340B.
- Complete ownership of contracts, passthrough of all pricing discounts and rebates to ensure consistent cost savings for Drexi PBM clients.
Join AMPS in our commitment to revolutionize healthcare cost management, providing tailored solutions that empower you to navigate the complexities while ensuring the well-being of your members. Your journey to cost savings starts here.
The future is getting brighter...
Beacon is a trusted leader in providing health claims management technology solutions for Third Party Administrators. Our cloud-based SpyGlass software suite empowers our clients to process claims quickly and accurately, automate key operations, and administer a wide range of plans to stay ahead of competitive market demands. With Beacon, you benefit from the vision and expertise of a knowledgeable, experienced team managing industryleading technology. Let us help you transform your business and pave a path toward the future.
CarelonRx
We’re putting the benefits back into pharmacy
You have a true partner in pharmacy benefits with CarelonRx. We combine new perspectives and deep expertise to create value through cost savings and better health outcomes.
CarelonRx is committed to partnering with you and your members
• Cost management strategies with an eye toward total cost-of-care savings
• Flexible network solutions that eliminate barriers and extend beyond traditional retail and home delivery channels
• New models of member engagement that focus on meaningful connections and patient-centered care
• Proactive programs, leveraging predictive analytics, for managing chronic conditions
• Real-time, self-service reporting and analytics, with actionable insights and product modeling
• Dedicated account management teams, backed by clinical and operational specialists
• Personalized care and best-in-class support for members taking specialty medications, including disease management programs and digital tools
$34B total revenue1
310M pharmacy claims annually2
16M+ members3
CLAIMS ADJUDICATION
What makes us different? Well...you do.
Cervey’s Adjudicator is a next-gen plan management and claims adjudication platform designed for you, with you. We offer a solution as unique as the needs of your clients, empowering you to provide nimble support in an ever-changing industry.
We listen. You leverage.
From customized pricing based on NADAC, AWP, WAC, MAC, ACQ to rulesdriven engines, Cervey’s Adjudicator provides the innovative flexibility you’ve been waiting for. We’re not just software. We are your partner in building a solution to help you maximize your strategy.
Claims adjudication doesn’t come in one size fits all... and neither should your software.
• Infinite Flexibility: Never out of the box. Our team of in-house developers offer endless benefit configurations designed to meet your unique needs.
• Comprehensive Expertise: With two decades of experience in claims adjudication, 340B, specialty and patient assistance, let Cervey’s seasoned team tailor your total solution.
• Unmatched Service: When you need support, you need an expert. You call we answer. No outsourcing. No robots. It’s as simple as that.
• No Competing Interests: Cervey is a privately held company, independent from any PBM ownership. Your success is our success. No question.
• Industry Readiness: Cervey’s flexible model allows us to quickly adapt to any future industry changes and requirements, including NCPDP F6 and beyond.
• Interoperability: Our extensive API framework simplifies the data integration with your internal processes and external business partners.
Putting the pharmacy back into PBM.
Evolved from the innovative Fairview Health System and its industry-leading Fairview Specialty Pharmacy, ClearScript was built to leverage medical and pharmacy expertise to reduce drug spend while improving your members’ well-being. We approach our clients’ unique pharmacy benefit challenges with white-glove account service, advanced data analytics, and unparalleled, tailored solutions.
True transparency, the clear solution
ClearScript uses a transparency model, passing discounts and rebates on to the employer for the lowest net cost. Our administration fees are clear and understandable to give you total clarity of your plan.
Unparalleled hospitality
Our high-touch, personalized service is o ered to every client, regardless of size or number of lives. We are built to uniquely maximize cost savings without sacrificing member satisfaction.
“Proactive & consultative account services
Flexible solutions to fit your goals
We work with you to find the right solution to achieve your pharmacy benefit goals. That means di erent things to di erent customers, and our team has the flexible solutions to find the right fit.
Care delivery with lowest net cost
Active formulary management with solutions for removing wasteful drugs paired with our vertically integrated Fairview Specialty Pharmacy allows us to drive lower margins = lowest net cost.
"Our account management team recently identified a savings opportunity for a client, proactively recommended a mitigation strategy, and ultimately saved the client 13% of their specialty spend.” - Human Resources Director, self-funded company
”ClearScript supports care delivery, saves clients money, and helps them grow as a business. When you’re ready to move forward, let us show you how.
for Third-Party Administrators
TriZetto® solutions include end-to-end claims processing and administration capabilities to help Third-Party Administrators (TPAs) optimize service, operations and costs. Built in and for the cloud and leveraging the benefits of artificial intelligence (AI), our platforms feature advanced functions, automated processes and integrated workflows to help you manage diverse lines of business and their unique challenges while achieving optimal efficiency.
Transformative mental health care, fueled by connectivity
How we help
Many employees struggle with navigating mental health care, facing long wait times, impersonal treatment and limited guidance. CuraLinc removes those barriers by blending evidence-based, clinical-first care with high-impact digital tools.
We don’t push employees down a predetermined path for accessing care. Instead, employees can choose the kind of support and provider that fits their unique needs. This approach helps employees find the right care quickly so they can thrive both personally and professionally.
CuraLinc delivers fast, high-quality mental health care to employees and their family members without sacrificing personalization or accessibility. Immediate access to licensed clinicians for in-the-moment support and navigation Fast connection to high-quality care across the mental health spectrum Personalized care paths and extensive support options that resonate with diverse needs
of cases are resolved within the program
case management for advocacy and guidance throughout the care journey Support for HR teams and managers to improve company culture and workforce productivity
Healthcare Transparency in Quality & Pricing
The largest and most accurate data available on medical providers and negotiated prices in the USA.
We help payers, providers, plan sponsors, and members identify the best doctors at the best prices by procedure, location, network, or by provider (NPI) or health plan using actual, negotiated rates and unbiased, data-driven quality metrics through user-friendly B2B Web-based platforms or automation inside other applications (business systems or member portals).
Provider Ranking System (PRS)
Compare unbiased provider ranking and cost information by medical procedure or specialty by region or nationally, with individual physician and hospital rankings.
Help members find the best doctors & specialists
Data-driven local ranking offers targeted provider lists to optimize health outcomes, cost efficiency and manage referrals. Build or integrate your network to help members find your best doctors.
Healthcare Pricing Guide (HPG)
The first of its kind user friendly tool from the Transparency in Coverage files (TiC), revealing negotiated prices from all healthcare payers for all services to all medical providers.
Benchmark & negotiate prices or demonstrate value
Revealing massive variability in prices by procedure across different payers and providers, with options to drill down by location, plan, or NPI. Set and negotiate prices in feefor-service or value-based care.
www.DennistonData.com Austin, TX ~ New York, NY
Technology-Enhanced Solutions to Complement Your Dental Strategy
With nearly 40 years of experience in PPO dental network management and advanced, client focused dental solutions, we will customize a plan that complements your dental strategy. Our expanded suite of technology enhanced products supported by our custom reporting, analytics and dentist recruitment will position you for success.
DenteMax’s
Product Suite
Commercial Network Lease
One of the largest leasable dental PPO networks in the country.
Loyal dentists with nearly 95% retention rates annually.
Targeted custom recruitment to improve your access and savings.
Stringent credentialing and strong data integrity.
Claims Repricing Services
Automated provider matching and fee schedule assignment to your dental claims prior to adjudication.
Eliminates manual provider match and the need to load provider and fee schedules.
PPO, proprietary and out-of-network options.
Medicare Network Lease
One of the largest leasable dental Medicare networks in the country.
A perfect fit for Medicare Advantage and senior benefit plans.
Modeled after CMS standards.
Monitoring for Medicare sanctions and malpractice.
Front-End Mailroom Services
Let DenteMax electronically scan claims for you.
Eliminate the administrative burden of paper claims.
Secure handling, imaging and conversion.
HIPAA formatting.
A great companion product with our Claims Repricing Services.
Flexible Stacked Networks
DenteMax specializes in developing flexible stacked networks to best meet our clients’ needs.
Increase your overall in-network access and savings.
Customizable for your business needs.
Best value network capabilities.
Network administration and analytics managed by DenteMax.
Turn-Key Discount Card Program
Products designed for those without a traditional insured benefit.
Customizable for your business needs.
Ability to private label.
Negotiable pricing and margins.
Dental-only or Wellness Complete plans, which offer additional discounts on vision, hearing, prescriptions and wellness.
Taking payments forward, together.
As a leading provider of innovative payment solutions, we're changing the way businesses pay - for both our clients and the industry at large. We bring 25+ years of experience to solve complex payment challenges with exceptional products that effortlessly integrate to save you time and money. EXPERTISE
25+ Years of experience solving payment challenges, with innovative, future-ready solutions.
1B+ in annual savings through client-centric solutions and partnerships.
$715M+ in payments processed each day through our payment network.
1.6M+ provider and vendor connections so you can hit the ground running from day one.
Next Generation
Medical Claim and Pharmacy Cost Management
Powerful solutions that intersect intelligent technology and multiple pricing pathways to unlock medical and pharmacy savings for your clients and your business. All powered by the award winning ExpionIQ platform.
Medical Cost Management Solutions
Tools For All of Your OON Pricing Needs
Utilize ExpionIQ to optimize your pricing with ease.
• AI-enhanced, automated RBP
• Intelligently optimized allowables
• NSA & state balance billing
• Contracted network agreements
• Worker’s comp
• Medical bill review
• Post payment appeals and member support
• NSA and state balance billing support and process compliance
• Pre-pay and post-pay negotiations
• Insource your claims with direct access to our out-of-network and next-gen RBP claims pricing platform ExpionIQ Medical
• Total transparency and full control over your claims
• Maintenance-free technology with flexible pricing terms to meet your needs
Leverage ExpionIQ to achieve lowest net cost goals:
• Dynamic, customizable formulary solutions
• Industry leading contracts
Pharmacy Cost Management Solutions
Harness ExpionIQ to discover savings opportunities:
Personalized solutions for your members’ healthcare journey.
Hines provides fully integrated health management programs that deliver optimal clinical outcomes with superior financial results. For every stage along the continuum of care, Hines o ers custom solutions.
Led by talented, experienced and knowledgeable team of registered nurses, medical specialists, financial review professionals backed by AI driven technology.
Hines accompanies your members through every step of their healthcare journey by coordinating integrated Care, Cost & Risk Management solutions. Our industry-leading suite of health management services is entirely customizable for Payers, Plans, and Members.
We o er:
• Provider Open Access Program (POAP)
• Curated medical management
• In-depth risk analysis with predictive modeling
• Prevention and wellness engagement
• Early and continuous patient intervention
• ClaimChexTM cost management platform for optimal negotiated savings
With Hines, you're in good hands.
Designed to return control of healthcare back to the patient and plan. Opus one integrates Care, Cost and Risk Management in a single bundled package superior to a Primary PPO network or a reference-based pricing alternative solution.
With Hines, gain end-to-end health and wellness services personalized services for better care, better outcomes.
We’ll be there for you every step of the way!
Drive Growth and Maximize Savings with Series 3000
Since 1990, Hi-Tech Health has customized claims administration systems for TPAs, Carriers, Provider-Sponsored Plans, Insurtech, and more. Our cloud-based platform, Series 3000, has thousands of APIs and EDI integrations to streamline workflows, cut costs, and save time.
We leverage cutting-edge technology like Healthee’s AI-driven app, to deliver fast, personalized responses to health benefits questions, boost efficiency, and grow our clients’ businesses. With our platform, you’ll serve your clients better than ever.
Ready to see how our platform rises above the competition?
Let’s Compare Series 3000 The Competition
Elastic Container Service
Partner Integration
Serverless Technology
Fraction of the Cost of Other Platforms
Increased Claim Handling
Long-Term Partnerships
Fast Implementation
20x+ the average number of claims
Average Tenure of 9.6 Years
Typically 6 months A Year or More
Claims Administration Built Around You
From startups to heavy hitters, we tailor our software to meet any payer’s needs – no matter what they are. We’ll do the same for you, too.
Ready to drive business growth? Schedule a demo with us.
Maximize recoveries from health plan subrogation
Are you ready to maximize recoveries with zero member contact?
Find undetected cases
We drive higher case identification rates, faster initiation of recovery actions, and—most importantly—higher recoveries through our technology which actively seeks out information through our unique data sources to build more complete cases.
Visibility into full claim life cycle
Intellivo’s access and visibility from the start of a P&C or workers’ compensation claim helps us better serve clients by identifying recoverable opportunities and their recovery sources much quicker.
Zero member contact
Unlike the traditional process of contacting members with confusing questionnaires and phone calls, our technology identifies subrogation opportunities and recoverable sources without member contact.
Who we serve
Third-party administrators
Self-insured health plan employers
Medicare advantage organizations
Benefits consultants
Taft-Hartley plans
Increase subrogation recoveries
Schedule time with Tim Brown to discover how Intellivo can help your organization increase subrogation recoveries. Call 815.557.9926 or email tbrown@intellivo.com
Our experience 25% of America’s 100 largest employers work with us 4 out of 5 of the biggest U.S. airlines including the world’s largest carrier 400+ clients from TPAs to selfinsured employers and other health plans
Achieves a 15% Accuracy Boost Through Operational Excellence
Manual processes, lack of error tracking, and inconsistent training lead to missed auditing opportunities and prolonged claims settlement times. These inefficiencies reduce provider satisfaction and result in costly delays, highlighting the need for streamlined processes.
Strategic Solutions Elevating Accuracy in Claims Processing
Healthcare payers can significantly enhance claims accuracy through targeted solutions:
Automated Sampling Tools:
Ensure precise, targeted auditing and regulatory compliance.
Structured Training Programs:
Equip processors with the skills to reduce errors and boost accuracy.
Real-Time Feedback Mechanisms:
Facilitate immediate error correction and proactive adjustments.
Streamlined Query Resolution:
Expedite query handling, improving provider satisfaction and operational flow.
Transformational Outcomes for Healthcare Payers
Automation and feedback systems dramatically improve accuracy and minimize costly errors. 20% Boost in Claims Accuracy:
Comprehensive training leads to fewer mistakes, ensuring claims are processed with precision. 15% Fewer Errors:
Processors work faster and more effectively with realtime error corrections. 10% Surge in Productivity:
Discover how operational excellence can transform your claims processing. Visit www.insightpro.ai or call 410-760-2700 to learn how InsightPro.ai can help you achieve higher accuracy, reduce errors, and optimize efficiency.
Drive managed care plans forward.
MedImpact — the largest, independent PBM in the nation — has been successfully managing pharmacy benefits in partnership with large managed care plans since its inception in 1989. With 30 years in the industry, we have built our business organically, on trust, one plan at a time.
Why MedImpact for Managed Care
MedImpact prides itself on its alignment with payer financial and clinical goals to provide access to low-net cost, medically appropriate drugs. Our unparalleled focus on cost containment and rigorous oversight is at the core of how we deliver services. In fact, clients who moved to MedImpact from other PBMs in 2018 saved $3.55 per member per month by using our clinical trend management program. Build Your
In-Depth Experience: Commercial Plans and Government Programs
MedImpact manages pharmacy benefits for many of the nation’s most sophisticated managed care organizations. We provide consultative guidance and collaborate with clients to help meet their strategic goals. We understand managed care pharmacy, and the importance of cost management while balancing member satisfaction. MedImpact’s first client was a managed care organization, and they remain our client today. Serving more managed care clients than any other segment of business, MedImpact has an in-depth understanding of managed care markets, products and services.
We also understand that some health plans want to take a hands-on approach in managing their pharmacy benefit programs. Our flexibility allows autonomy in program management.
MedImpact
All the Services You Need. One Partner to Deliver.
At MedWatch, supporting the clinical and financial health of plans and members has long been our passion. Our reputation of creating innovative and effective solutions has established us as the trusted industry leader in medical management and member advocacy.
Leading with Impact.
We understand that behind every health plan is a person, a family, and a story. That’s why we personalize solutions that deliver a lasting impact.
Sally-Ann Polson President & CEO
International Behavioral Health Solutions for Self-insured Groups
You want to help them find the best solution…
You want to retain the best vendors for your clients. But sometimes the marketplace can be flooded with groups that all look the same. How do you identify the best organizations to recommend to your clients? The answer is MINES. MINES is best-suited for self-insured organizations that want behavioral health support that exceeds industry standards while providing a high-touch and easily accessed set of services. As just one of the many factors that will face employers in the future, chronic workplace stress is associated with increased absenteeism, turnover rates, and decreased job performance. Approximately 75% of employees report experiencing stress at work, and burnout rates have been steadily rising. This will exponentially increase costs for your clients unless they implement proactive management solutions now.
MINES’ Behavioral Health Solutions
MINES Services can be provided on an a la carte basis, but when these programs are combined, MINES can provide even more successful programs with deeper cost-savings!
Managed Behavioral Heath Care
Concurrent, Retrospective and Precertification Review, ongoing case management
Self-insured companies take on daily financial risks when it comes to managing their mental health care benefits. Poorly- or under-managed benefits come with serious ramifications. Employees can have difficulty accessing the appropriate level of care, and when mistakes are made, employers’ costs will skyrocket. When MINES’ clinical experts manage your company’s mental health care plan, the benefits are twofold. Employees have an advocate to ensure their best care, and your company’s insurance fund is protected against unnecessary spending.
Onsite Clinic Behavioral Health Care
From staffing to network support, MINES is able to support all your behavioral health clinic needs MINES is one of the first behavioral health care firms to partner with onsite medical clinics to provide behavioral health services. We work with national partners to p rovide onsite therapists, psychologists, and psychiatrists as needed by the clinic. Options include onsite therapists, virtual clinic services, hybrid models, and more.
Employee Assistance Programs
MINES’ average utilization rate across all Employee Assistance Programs is over 9%
The unique stress factors involved in the work environment require the utmost consideration in building an effective Employee Assistance Program. In addition to the goals of any EAP program (including helping employees develop productive ways of dealing with stress related to work concerns, family difficulties, and drug and alcohol problems), our EAP is also a management tool, providing support to Leadership. Our Work Performance Referral process also keeps employees productive while still at work when their performance has noticeably decreased.
Behavioral Health Specialty PPO Network
Over 23,000 facilities and individual practitioners, nationally
With the Mental Health Parity Act functionally eliminating outpatient case management, employers and trusts are limited to managing outpatient costs through the leasing of PPO specialty networks. MINES has the most competitive provider fees in the country while maintaining strict credentialing standards.
When not addressed early as in a well-utilized EAP, problems worsen and end up going into the behavioral health benefit – resulting in even higher costs. A recent report from the National Behavioral Consortium showed that stand-alone EAPs (like MINES’ Program) resulted in almost triple (4.7%) the utilization of embedded or “free” EAPs (1.6%). MINES’ averages almost double the results for stand-alone EAP services at 9%
What would that mean for your clients’ behavioral health costs annually?
With pharmacy costs making up 50% of total benefit spend and a continuous surge of specialty drugs in the FDA pipeline, there is no end in sight for rising Rx costs. Groups are demanding more PBM transparency and Rx savings strategies from their benefit partners.
Our Services & Solutions
Our expert team of clinical pharmacists, data analysts and industry veterans develop and deliver creative cost-containment opportunities and connections that optimize pharmacy spend to support client needs.
• Claim Repricing and savings analysis
• Access to market-leading coalition deals
• Full-service PBM implementation support
• Market leading clinical & account management support
• Robust analytics & reporting
• Effective cost-containment programs, including highcost specialty solutions
Years of direct pharmacy benefit navigation experience Average client savings
T H E P
B M P A R T N E R
E M P L O Y E R S D E S E R
V E
Designed Differently from the Beginning
Navitus was founded in 2003 as a 100% pass-through PBM for a large plan to control costs. We were intentionally designed to provide value, transparency, and low net cost strategies without conflicts of interest like spread pricing and rebate retention.
D A R I N G T O B E D I F F E R E N T
Navitus continues to be different in the industry by offering:
An unmatched level of transparency and integrity in our actions
A client-centric drug coverage and clinical management approach focused on decreasing drug spend and trend
An unwavering commitment to manage every dollar as if it were our own Navitus Key, a best-in-class solution specifically designed to serve key accounts
F A C T S A N D F I G U R E S
Privately owned by SSM and Costco
100% of revenue from client fees or shared program savings
Scale and purchasing power of 14 million lives
N A V I T U S K E Y : P R O G R A M S
Dedicated experts and solution designed for employers with ≤ 5,000 members
High-touch service for an underserved market
100% of clients “very satisfied” or “satisfied” with our implementation process
We provide a full-service, bundled, in-house PBM solution with tools designed to reduce costs:
Access Guidance for specialty and traditional medication copay assistance programs
QALYiQ to manage costs for expensive drugs
Lumicera Health Solutions cost-plus specialty pharmacy with an 85.5 Patient Net Promoter Score
Costco Mail Pharmacy for maintenance medications
A suite of optional add-on programs is available to meet client-specific needs:
Personalized Member Transitions guide members through formulary and prior authorization changes
Specialty Access (Patient Assistance) directs members to cost-reducing programs
Medical Specialty Program moves coverage of select specialty drugs from medical to pharmacy benefit
Seam.less Paynient Solutions
It's not enough to know payment solutions. To truly unlock cost saving opportunities, you need a partner that knows how care is purchased, paid for, and delivered. Whether you're a payer, employer, or municipality, Nomi Health provides a frictionless experience for both you and your provider network.
Nomi Health Payments
Automates payments and reduces burdensome administration
Provides an advanced reporting dashboard
Turns business intelligence into payment transactions in real-time
0 Relies on modern payment infrastructure that is HITRUST, PCI, SOC2, and HIPAA-certified benefit offerings while mitigating check fraud
0 Provides frictionless experience for both payer and provider network Let's Rebuild Healthcare Together nomihealth.com
TPA Benefits
Focus on growth and scalability
0
Gain a competitive edge
Achieve competitive pricing and reduced administrative costs through automation
Curve costs on administrative functions
Manage company cash flow
Gain protection through the card and ACH networks
Gain the banking infrastructure to match claims to payments in an electronic form
� Experience fewer errors, claim complaints, and improved member base and clientele satisfaction
Your Voice. Your Rx Benefits. Amplified.
At Phoenix PBM, we focus on amplifying your voice by tailoring personalized pharmacy benefits to meet you and your clients’ unique needs.
Open-Architecture Benefits
Phoenix PBM’s Open-Architecture Approach puts you in control, giving you the voice to design customized pharmacy benefits plans. We listen to your needs and innovate with flexibility to ensure savings, coverage, and satisfaction.
What That Means for You
Brokers:
Get clearer data and solutions tailored to your clients’ goals.
Employers:
Offer employees cost-saving benefits with easy access to affordable medications.
TPAs:
Partner with an experienced team for seamless claims processing and auditing.
TPA Reporting Assistance:
We deliver clear, timely, and actionable reporting to help optimize pharmacy benefits and make informed decisions— without the complexity.
We Helped Clients Save $514M in One Year
Phoenix delivers unmatched savings, with an average plan savings of 22%. We prioritize your needs with customizable solutions and hands-on care, ensuring every dollar works for you.
What Sets Us Apart
Cost: No hidden fees—100% of pharmacy-generated revenue passed to you.
Concern: Proactive data analysis and clinical stopgaps to control spend.
Customization: Open-architecture approach to tailor benefits to your goals.
Customer Care: Personalized, hands-on service for long-term success.
Ready to Use Your Voice?
When we say we’re a different kind of PBM, we mean it. Our dedicated team is here to listen, inform, and ensure your benefits plan reflects your needs— loud and clear.
See How Phoenix Delivered a Client $450k in Savings in One Year
Read the Case Study
Precision Analytics for Health Plan Management
“When every penny counts, we count every penny”
Optimized for TPAs, Healthplans, and Brokers
In-Depth Data Analytics: Uncover deep insights into health plan data to drive informed decision-making
Claim Re-Analysis: Delve into past claims for a thorough understanding and better future strategies
Individual and Multi-tier Modeling: Tailor your approach with versatile modeling options for individual and multi-tier plans
Integrated Medical and Prescription Data: Connect the dots between medical services and prescriptions for a holistic view
Cost Illustration: Visualize expenses many ways, enabling clearer financial planning
Product Services
Analysis Reporting: Comprehensive analysis for a deeper understanding of claim patterns as well as convenient summaries of enrollment and claims
Disclosure Reporting: Essential for TPAs needing detailed stop-loss underwriting data
Plan Modeler: Simulate changes in plans, assessing impact and efficiency
Scheduling: automatically generate reports at specified intervals
Custom Reporting: Build a custom report based on specific needs
Highlights & Features
•Developed in 2005 and maintained in the USA •Fully customizable reporting
•40+ years of collective expertise in self-funded sectors •Unlimited user access
Your Ideal Analytics Partner
Whether you're a TPA seeking comprehensive analytics, a broker in need of indepth insights into health plans, an HMO navigating complex healthcare landscapes, or a Medicare/Medicaid payor aiming for efficiency and compliance, Planwatch is your go-to solution for efficient, data-driven decision-making.
Planwatch
Reimagining pharmacy solutions to provide the care we would want for our loved ones
Prime Therapeutics (Prime) values our mid-market partner relationships and focuses on creating exceptional experiences for those we serve. With Prime, you get targeted, innovative solutions that are designed for your unique needs and built on our Save, Simplify, Support™ approach.
Save: Make medications more affordable
We improve affordability for you and your members through market-leading solutions like trend and pipeline forecasting, innovative clinical programs and customized low-cost formularies.
Simplify: Deliver an easy, transparent experience
We create connections to deliver more efficient care experiences, no matter where your members are in their care journey. Our new PrimeCentral™ mobile app simplifies the experience, delivering timely alerts and allowing your members to easily compare prices — and understand exactly what they’ll spend on their meds.
Support:
Help people achieve better health
We offer a suite of solutions and products designed to serve you and your members across the health care continuum. MyRxView delivers actionable insights and predictive analytics through comprehensive, on-demand online reporting, helping you make a meaningful difference in member outcomes.
Learn more about how we’re uniquely positioned to support you at
network alternative, for all the safety of a network…
Moving Mountains one claim at a time...
Who We Serve
-Third Party Administrators
-Stoploss Carriers/MGUs
-Self-Insured Companies
Produ cts We Defend
-Code Compliance Reviews
-Single Case Agreements
-Group Wide Contracting
-Clinical Standards of Care Eval
-Specialty Drug Therapy Contracts
-Medical Record Retreival
Wit h Focu ses On
-Large Dollar Claims
-In Network/Out of Network -Inpatient/Outpatient
-CAR- T Therapy
-NICU/ICU -Trauma Centers
-Burn Unit
-Oncology and Radiation
-Durable Medical Equipment
-Rehabilitation
-Air Flight/Ambulance
-DRG and fee-schedule Validation
-QPA Data Analytics
Jason Nau Vice
-(307) 431-5612www.jason.nau@rm-review.com
We are stronger together...
Great teams build great products for those in need. We combine team member expertise and experience to secure advantages for our Clients. RMR provides access to credentialed and certified professionals. - CPC,CIC, RN, MD, & Ph.D, AHIMA, HIT, Nurse Auditors, and Veteran Contracting Officers.
Something is wrong....
Receiving Healthcare should not bankrupt an individual nor plan. Even more so if the cost of that healthcare is consistently inaccurate and left unchecked. Cost Containment should help, but it needs to become more comprehensive and impactful. We work tirelessly, from all corners of our industry, to increase your CLEAN CLAIM CONFIDENCE to the highest risk areas of your plans. LARGE DOLLAR CLAIMS.
Solution...
At RMR we understand that our Clients have specific needs. Let’s talk. Now more than ever, it is necessary to stay on top of the changes weaving their way into our industry. In turn, it is our belief that Cost Containment efforts must also evolve to maintain relevance and effectiveness. RMR’s products strive to be dynamic. This ensures both product compliance and relevant results are delivered.
Shana Boley Vice
-(803) 322-1748www.shana.boley @rm-review.com
R OCK Y M OUN TA IN R EVIEW
At Serve You Rx®, the success of you brings out the serve in us.
As a full-service, independently owned pharmacy benefit manager (PBM) with nearly 40 years of experience, we offer unquestionable flexibility, unwavering quality, and an unrelenting commitment to our clients’ needs. Through our exceptional service and tailored, costeffective benefit solutions, we empower plan sponsors to overcome three critical industry challenges:
Aligning PBM incentives with plan goals for better outcomes
Controlling specialty drug spend through proactive trend management solutions
Delivering unparalleled satisfaction through exceptional, client-centric service
The Serve You Rx Difference
Flexibility
• We are independent and nimble, empowered to say “Yes”
• Our transparent contracts align with your plan objectives
• We work with you to design creative, tailored solutions
Quality
• Our integrated assets, including our call center, home delivery, and specialty pharmacies, are all domestically located, ensuring accountability and savings.
• Proactive trend management contains costs while improving outcomes
• We can effectively implement some plans in 30 days
32%
The average amount that new groups save on their total drug spend by switching to Serve You Rx.
We outperform industry averages 6% overall trend vs 13.5% industry 1 7.8% specialty trend vs 12.4% industry 1
Large enough to deliver savings, small enough to personalize service.
You Centricity
• Service isn’t just in our name –it’s our promise and purpose
• We put you first in everything we do, from plan design to client support
• We integrate with your preferred point solutions
Revolutionizing the Pharmacy Benefit Experience
Introducing PBX ™
The pharmacy benefits industry is at a critical crossroads, driven by a chronic lack of transparency that has led to a widespread misalignment of incentives. For years, opaque practices have obscured the true costs of medications, leaving payers and patients struggling to navigate an increasingly complex system. It’s clear that the current model is no longer sufficient to meet the demands of today’s healthcare landscape.
Pharmacy Done Differently Because We Are Different
SlateRx is the industry’s first PBX—pharmacy benefit experience — leveraging the financial value of a large pharmacy benefit manager (PBM) and pairing with the concierge service of a pharmacy benefit administrator (PBA), so you get the best of both worlds. We offer savings of 15% on pure unit costs* from day one, seamless service and onboarding backed by guarantees, and fiduciary language in our contracts that others simply won’t provide.
Our Commitment to Value, Transparency, and Trust
SlateRx is committed to complete transparency. When we say transparency, we mean it—audit rights, visibility into every dollar we make, and 100% pass through of all manufacturer compensation. Our contracts are crystal clear, and because we charge a single PMPM fee, our incentives are fully aligned with our clients.
The Value of Our Unique Pharmacy Business Model
SlateRx’s unique value is delivered through the strength of our channel partnerships, coupled with our innovative programs and independent oversight. We help your plan optimize the true cost of drugs, the volume and mix of drugs used, and any underlying volatility, leading to a program you can feel confident in, and measure to be sure of its value.
It’s time to drop the legacy model and discover a new pharmacy benefit experience.
Visit Slate-Rx.com to design your PBX™ today.
Our Unique PBX™ Model Gives Plans Like Yours:
Buying power, plain and simple; savings of 15% on pure unit costs alone are just the beginning
No-surprise contracts; pre-negotiated terms with airtight protections
Complete transparency, 100% pass through, and audit rights
Alignment with your interests and fiduciary protections
Unique solutions to reduce risk and improve plan cash flow
SlateRx owned and operated P&T committee for additional independence
Custom clinical programs included to address waste, use, cost, formulary, and more
MAKING HEALTHCARE EFFICIENT WITH AUTOMATION
Corporate Solutions
corporatesolutions.swissre.com/esl
® Industry-Renowned Protection Against Fiduciary Liability Arising from Final Level Appeals.
Next Level Reference-Based Pricing with Quality Care and Fair Pricing Done Your Way.
STOP LOSS INSURANCE FOR EMPLOYERS SELF-FUNDING
MEDICAL
PLANS
Get the benefits of self-funding medical while managing your risk
Fulfilling promises is what we do. We’re here to help employers fulfill theirs.
Catastrophic claims have continued to rise and we understand the risk this can raise for self-funded medical plans. By mitigating the risk from catastrophic claims with Stop Loss Insurance, employers can focus on funding their plan while giving employees the coverage they deserve.
Why Prudential?
As a direct writing carrier, we hold underwriting discretion and claims reimbursement authority. We are offering Stop Loss Insurance to provide self-funded employers coverage they can count on from a leading financial services company. So you can benefit from our:
Experience
Work with a partner you can trust— for nearly 150 years, the Prudential brand has stood for strength, stability, and innovation.
Security
Rated:
•AA- by S&P
•Aa3 by Moody’s
•AA- by Fitch
•A+ by A.M. Best
Efficient, responsive service
Take advantage of streamlined processes across quoting, onboarding, and reimbursements.
Dedicated distribution team
Benefit from our consultative approach for both new and existing Prudential clients, as we work hand-in-hand with your existing relationships.
Unbundled approach
Choose from flexible policy options to build a coverage plan that works to address the financial needs of each self-funded plan and unique requirements of the business and employees.
Reassurance
When you submit claims for Stop Loss reimbursement, we help ensure you are paying the right amount to serve your employees.
Turning Pharmacy Investments into Healthier Employees
Experience a New Choice in Pharmacy Benefits
At True Rx Health Strategists, we believe the future of health care is patient-centered, and we’re here to make it a reality. Frustrated by an industry that prioritizes profits over people, we’ve created a new category of pharmacy benefits management: Health Strategists. We offer personalized care, clear pricing, and clinical programs that help keep employees healthy while employers save.
Privately Held by Generational Pharmacists
Privately held by generational pharmacists, we prioritize patients over profits, ensuring your employees’ health comes first
Patient-Centric Approach
Our patient-centric approach means we listen and understand each patient’s health story, tailoring solutions to their unique needs.
High-Touch Clinical Support
With high-touch clinician support, our 1:10 clinician-to-employee ratio ensures personalized care and timely guidance, helping your employees better manage their health and make informed medication decisions.
It’s time for a new kind of health care: one that works for everyone.
Fully Integrated Platform
Vālenz® Health
Configurable Solutions
Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality and elevate the healthcare experience. The Valenz Health mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz Health engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification.
Featured Solutions
Imaging and Surgical Care Bundles:
Provide intuitive navigation that ensures the right imaging and surgical care at the right time, allowing members to seek care close to where they live and work, with average travel of 15–60 miles. Achieve an average savings of 55% across 400 procedures with the nation’s largest bundled solution covering all 50 states.
Specialty Infusion:
With the largest covered infusion list, 80% of infusion therapies can be delivered in-home at a savings of 30%–70%. Provide cost-effective, convenient care with in-home delivery nationwide and 65+ infusion centers in 16 states.
Claim Solutions:
Our high-dollar bill review solution identifies erroneous in-network charges and achieves significant savings after network discounts.
For out-of-network claims, leverage our local marketsensitive pricing solution to reduce billed charges an average of 60% with appeal rates of less than 1%.
55%
Average savings
$41,000
Average savings per member
25%
Average savings after network discounts
60%
Average reduction in billed charges
For smarter, better, faster healthcare, visit valenzhealth.com or call (866) 762-4455.
At VBA, we deliver cutting-edge, personalized technology tailored to meet the evolving needs of healthcare payers. Our intelligent solutions provide actionable insights and efficient processes, enabling confident decision-making and seamless operations. With faster, more accurate claims processing and enhanced scalability, VBA is transforming the healthcare landscape—driving meaningful outcomes for your business and the members you serve. Claims and Benefits Administration
VBA
We can’t stop the unexpected, but we can stop loss
* Results from 2022 Voya Stop Loss Broker Survey; 1,100 broker contacts surveyed, 45 responses received (4% response rate, representing 80 employers); NPS of 76% based on responses.
We have expanded our services to work with more mid-market groups that utilize self-funding, starting at 100 lives and individual deductibles down to $25,000. Maintaining an industry-leading 85% minimum aggregate deductible, we can provide access to step-down deductibles, renewal guarantees and cash flow support, with additional product support based on each client’s needs.
Contracting
Flexible contracting allows employers to choose options that best serve their needs. As health care changes, we adapt.
Individual Excess Risk Insurance
Plan for reimbursements for eligible claims paid over the individual deductible for any covered person. Includes medical and prescription drug claims—and can be tailored to meet a variety of budgetary needs.
Aggregate Excess Risk Insurance
Catastrophic claims can be...well, catastrophic for self-funded medical plans, but so can high utilization. We provide protection by limiting liability to a specific dollar amount for the whole group. Let us know if you need monthly accommodation too.
Flexibility
Advanced Funding options? Absolutely. Laser-free renewals? You bet. Also, plan mirroring, experience premium refund, extended locks, and much more. Employers can choose from an array of features to help their stop loss plans work for them.
Cost Containment Programs
Our experience and service in the stop loss market has provided a guiding hand for more than four decades—while maintaining a pulse on new trends. Top 5 reasons brokers surveyed recommend our Stop Loss Insurance*
Multiple proven cost containment programs can provide plan and individual savings. The programs are voluntary, so employers can choose what works for their plan. Additionally, percent of savings fees may be eligible for reimbursement.
40+ Years
Excess Risk (Stop Loss) Insurance is underwritten by ReliaStar Life Insurance Company (Minneapolis, MN) and ReliaStar Life Insurance Company of New York (Woodbury, NY). Within the State of New York, only ReliaStar Life Insurance Company of New York is admitted, and its products issued. Both are members of the Voya® family of companies. Voya Employee Benefits is a division of both companies. Stop Loss Policy #RL-SL-POL-2013 or #RL-SL-POL-2013-NY. Form numbers, product availability and specific provisions may vary by state. For broker and employer use only.
Harnessing the power of AI and featuring a state-of-the-art Price Comparison Shopping Tool to maximize benefit utilization and take member engagement to new heights, MediConnX360 2.0, powered by Healthee, simplifies the complexities of health plan navigation, clarifies benefits, and makes accessing care more efficient and affordable.
Key Features
AI-Powered Health Plan Decision-Making Tools:
Participants can compare and share health plan options, allowing for a personalized experience that helps them identify the best plans.
Enhanced Benefits Navigation:
Participants gain clear insights into their benefits, helping them maximize benefit utilization through the Healthee app.
Provider Search & Appointment Scheduling:
Participants can search for in-network providers, view ratings and reviews, and schedule physician, dental, and vision appointments within the app.
MediConnX360 2.0, powered by Healthee, enables administrators to distribute updates, access reports, and offer brokers branded dashboards for streamlined engagement, ensuring full NSA and TiC compliance. Members benefit from easy access to tools for claim verification, enrollment management, and secure communication, making health plan navigation and care coordination more intuitive and efficient.
Price Transparency Technology:
Participants can see the cost of care in advance for each provider or service, allowing them to choose the most cost-effective care.
Cost-Saving Strategies:
The platform steers participants toward cost-saving strategies, including telehealth services, musculoskeletal (MSK) solutions, and diabetes monitoring.
Compatible with Mobile and Desktop
Discover how MediConnX360 2.0 can elevate your plan’s performance and member satisfaction— unlock the future of health benefits today.
Scale your Business with a Unified Member Experience
zAnalytics Unlocks Insights for Action
Our visual dashboard offers actionable strategies for informed decision-making for TPAs like you. The zAnalytics Reporting Suite provides personalized insights through customizable reports and enhances heathcare management choices
Pain Points Solved
• Cost Containment
• Technology Integration
• Client Retention & Acquisition
• Boosting Operational Efficiency
zAnalytics Reporting Suite Highlights
• Claims data reports
• Plan use analysis
• HIPAA compliance reports
zAnalytics Highlights
• Identification of cost and risk drivers
• Dynamic cohort building
• ROI tracking to measure intervention effectiveness
zAnalytics Case
Study Results
• $20 Million savings in Rx
• 67% members increased PCP visit
• 13% decrease in ER usage
zConnect: Unified Member Experience
Predictive analytics and algorithms to identify gaps in care, cost drivers, risk drivers, etc.
Use data driven technology & CRM to personalize member experience and interactions
Digital assistant available 24/7 to support members in their day to day queries, issues and easily connect to human touch
Intelligence
Pro-actively promote appropriate behaviour e.g. close gaps in care, make PCP appointments, use alternative places of care
Predictive analytics and algorithms to identify gaps in care, cost drivers, risk drivers, etc. Nudges
zConnect Cost Estimator Tool Solution
• zConnect is a dynamic, embedded multi-touch mobile provider search tool configurable to any plan design and network design
• zConnect allows members to search and compare the prices for healthcare services at different places of care based on contracted network negotiated rates
Client-Focused Partnership Drives Innovation and Expansion
ACS partners with Zelis to streamline operations and deliver better results and higher savings for its clients.
The Challenge
Over a decade ago, third-party administrator ACS Benefit Services wanted to deliver better results for its clients, specifically in the areas of bill review, editing, and claims auditing. The ACS leadership team recognized that outsourcing would streamline operations and generate higher savings for clients.
However, the key challenge to successfully implementing this strategy had to be carefully considered before moving forward – which company could join forces with ACS to create the most seamless and effective partnership?
Working closely with her executive team, Chief Operating Officer Beverly Proctor evaluated many companies and various solutions during the search. First and foremost, ACS wanted to partner with a company that possessed a proven record of innovation, would fully embrace the ACS mission, and its responsibility toward client and member success.
Just as important, ACS needed a partner that could provide strategic guidance to successfully navigate the rapidly changing healthcare landscape. “We found all of that with Zelis,” said Proctor.
Like ACS, Zelis has a hands-on approach to doing business and is committed to driving innovation. The team at ACS also felt that Zelis had a deep understanding of both industry dynamics and regulatory affairs, being well-versed on incorporating this expertise to effectively support clients.
“Since healthcare is constantly changing with the implementation of new regulations and requirements, we were looking for a partner that could guide us through the changes to help us achieve our goals, and Zelis has delivered,” Proctor shared.
“They listen to our business needs and growth strategy, and anticipate how ACS can continue to deliver results for our clients. We have a comprehensive partnership across many different solutions, and we are continuing to expand.”
Claim edits utilized: 90%
Gross savings from 2018 - 2021: $13M
Achieving results from the start
Employee benefit programs typically rank among the most expensive budget items for any company, regardless of size. When they initially formed the partnership more than 10 years ago, one of the first solutions that ACS utilized was Zelis Claims Editing. The impact for their clients was immediate, not only from the positive feedback they received, but also from a standpoint of streamlining the company’s internal operations.
The majority of claims that ACS has processed since 2010 have gone through Zelis’ claims editing program to ensure correct coding and pricing, to identify discrepancies, and to find potential cost savings before the claims are approved for payment. ACS holds a 99.6% accuracy rate in claims processing, with nearly 90% of Zelis’ recommended claim edits being utilized. The depth to which the two companies employ this service and share the information through data analytics is unique. Accuracy rate in claims processing: 99.6%
Additional 2025 Sponsors
Medical Review Instute of America (MRIoA)
Sponsorship Guide
– A –
Audit/Actuarial/Financial
Nomi Health 58
– B –
Broker/Consultant
CarelonRx 16
– C –
Claim System Development/Management/Support
Beacon Technologies Group 12
Cervey 18
Cognizant 24
Hines & Associates 36
Hi-Tech Health 38
Integrated Payor Solutions 103
MDI NetworX 46
PharmPix Corp., 103
Smart Data Solutions 76
WLT Software 94
Cost Containment/Large Claims/Catastrophic
Claims Management
6 Degrees Health 4
A&G Healthcare 6
AMPS 8
BASELoad and W-9 Corrections 10
ClaimDOC 20
ClaimsBridge 102
Expion Health 34
HealthClaim Review® 102
HPC 40
Intellivo 42
Javelina from Mphasis 44
MedWatch, LLC 50
Payer Martix LLC 60
Reliant Health Partners 68
Rocky Mountain Review 70
TALON 80
The Phia Group, LLC 82
Valenz® Health 88
VBA 90
WellRithms 103
zakipoint Health 98
Zelis 100
– D –
Data Analytics
A&G Healthcare 6
BASELoad and W-9 Corrections 10
ClaimsBridge 102
Denniston Data Inc (DDI) 28
Javelina from Mphasis 44
Nomi Health 58
Planwatch 64
Rocky Mountain Review 70
TALON 80
VBA 90
Xevant 96
zakipoint Health 98
– M –
Medical Management/UR/IRO/Disease Management
HealthClaim Review® 102
Medical Review Instute of America (MRIoA) 103
MedWatch, LLC 50
MINES and Associates, Inc. 52
Valenz® Health 88
Sponsorship Guide
– P –
Pharmacy (PBM/Consulting/Audit/Services)
Candesa Pharmacy Solutions 14
CarelonRx 16
ClearScript 22
Expion Health 34
MedImpact 48
Navion 54
Navitus Health Solutions 56
Nomi Health 58
PharmPix Corp., 103
Phoenix PBM 62
Prime Therapeutics 66
Serve You Rx 72
SlateRx 74
True Rx Health Strategists 86
Plan Sponsor/Employer
CarelonRx 16
PPO/Network Provider
6 Degrees Health 4
DenteMax 30
MINES and Associates, Inc. 52
– R –
Referenced Based Pricing
6 Degrees Health 4
A&G Healthcare 6
ClaimDOC 20
Denniston Data Inc (DDI) 28
HealthClaim Review® 102
HPC 40
Reliant Health Partners 68
The Phia Group, LLC 82
Valenz® Health 88
– S –
Software Development/Support
BASELoad and W-9 Corrections 10
Cognizant 24
ECHO 32
Flume Health 102
Integrated Payor Solutions 103
MDI NetworX 46
Planwatch 64
Smart Data Solutions 76
VBA 90
WLT Software 94
zakipoint Health 98
Specialized PPO Networks: Chemo, Dialysis, Premie Baby, Transplant, etc.
