Get claims data to better negotiate health plan renewals or obtain stop-loss quotes for any fully-insured group.
Fetch claims data to better negotiate health plan renewals or obtain stop-loss quotes for any fully-insured group.
Employees login to our portal with their health plan credentials to release their EOBs electronically.
Access raw Excel file claims data containing procedure codes, pharmacy and financial data to assess risk.
Reports can be sent out for stop-loss quoting and rate negotiation.
Employees login to our portal with their health plan credentials to release their EOBs electronically.
Access raw Excel file claims data containing procedure codes, pharmacy and financial data to assess risk.
Reports can be sent out for stop-loss quoting and rate negotiation.
Retrieve data from over 100 medical, dental, vision and prescription carriers to retrieve detailed claims data.
Retrieve data from over 100 medical, dental, vision and prescription carriers to retrieve detailed claims data.
EOB data is securely housed in a HIPAA-compliant database and can exported in an Excel format for further analysis.
EOB data is securely housed in a HIPAA-compliant database and can exported in an Excel format for further analysis.
We help your clients with the initial communication and marketing to employees, along with unlimited inbound tech support and even outbound calls to non-enrolled members.
We help your clients with the initial communication and marketing to employees, along with unlimited inbound tech support and even outbound calls to non-enrolled members.
Sign Reseller Agreement and pay the first quarter's fee.
Start HereUse our Marketing-Tool-Kit to assist in your presentations and communications to clients and/or prospects. Kadalyst is avaiable for your first 60-days to join you on conference calls or Zoom Meetings.
Once you obtain confirmation from a group to move forward with the Claims Retrieval Program, use the online onboarding form along with the census file. The census file template is included in your welcome email.
Onboarding FormOnce we receive all documents, Rover will create the portal and upload the census file and test the connection with the site contact. The portal will automatically email all employees a registration link. If the employer does not provide a census file we will supply a direct link for self-registration.
DAY 1-3Email your group the materials included in the welcome email. These materials will assist your groups with communications to their employees explaining what the program is and how to grant EOB access.
DAY3Employer sends out communication materials to employees about participating in the Claims Retrieval Program.
DAY 3-5Employees login to the claims retrieval portal to grant access to their EOB statements. The data will be transmitted to a secured database within 24-hours.
DAY 5-15After the program launch, Rover will provide a report to the employer of all employees who have not yet registered. The Consultant or Rover will send reminder emails to those individuals.
DAY 11Unlimited inbound calls and emails to Kadalyst to assist employees with any login issues Is provided. Plus, (2) outbound calls to non-registered employees.
DAY 11-15Remind employer to send final emails out to nonenrolled employees before campaign ends.
DAY 14(1) De-identified aggregate claims file and (1) "Claims by Member Report," will be provided for analysis. The portal will be deactivated after the report is delivered.
DAY 15-16If you’re talking to your clients about rate negotiations or becoming self-funded then arm yourself with our marketing and communication materials.
Ensure that your client’s employees are fully aware that better benefits are on the way and what they can do to help their employer achieve that.
If you’re talking to your clients about rate negotiations or becoming self-funded then arm yourself with our marketing and communication materials.
Ensure that your client’s employees are fully aware that better benefits are on the way and what they can do to help their employer achieve that.
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