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Fetch claims data on any fully-insured group.
Learn how in 90 seconds!
Armed with financial medical and Rx data, you can assess risk and identify savings opportunities for your small group clients.
Fetch fully-insured claims data.
Get claims data to better negotiate health plan renewals or obtain stop-loss quotes for any fully-insured group.
Fetch fully-insured claims data.
Fetch claims data to better negotiate health plan renewals or obtain stop-loss quotes for any fully-insured group.
Learn how in 90 seconds!
Connections already established.
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MGU Partners
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Stop-Loss Carriers
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Health Plans
Connections already established.
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MGU Partners
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Stop-Loss Carriers
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Health Plans
the Process is super simple
Control healthcare costs with claims retrieval analytics.
Step 1
Release EOBs
Employees login to our portal with their health plan credentials to release their EOBs electronically.
Step 2
Analyze risk
Access raw Excel file claims data containing procedure codes, pharmacy and financial data to assess risk.
Step 3
Prepare Reports
Reports can be sent out for stop-loss quoting and rate negotiation.
the Process is super simple
Control healthcare costs with claims retrieval analytics.
Step 1
Release EOBs
Employees login to our portal with their health plan credentials to release their EOBs electronically.
Step 2
Analyze risk
Access raw Excel file claims data containing procedure codes, pharmacy and financial data to assess risk.
Step 3
Prepare Reports
Reports can be sent out for stop-loss quoting and rate negotiation.
get started today!
Design better benefit plans by accessing data from 100+ carriers, regardless of size.
get started today!
Design better benefit plans by accessing data from 100+ carriers, regardless of size.
Features
How our claims portal will help your clients
Established relationships with TPAs, MGUs & GAs
Integrates with popular Ben Admin and HRIS platforms
Daily data refresh providing real-time claim reports
Setup new client portal accounts within minutes
Dedicated advisor portal and custom branding options
60 sec. or less for members to share claims data
100+ Carrier Connection
Retrieve data from over 100 medical, dental, vision and prescription carriers to retrieve detailed claims data.
100+ Carrier Connection
Retrieve data from over 100 medical, dental, vision and prescription carriers to retrieve detailed claims data.
Sample Reports
EOB data is securely housed in a HIPAA-compliant database and can exported in an Excel format for further analysis.
Sample Reports
EOB data is securely housed in a HIPAA-compliant database and can exported in an Excel format for further analysis.
Your Support Team
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.
Your Support Team
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.
Marketing to your clients the easy way
Communicate to your clients and their employees with our tool kit.
Marketing to your clients the easy way
Communicate to your clients and their employees with our tool kit.
implementation timeline
Launch our claims retrieval program in under 30 days from start to finish.
FINALIZE AGREEMENT
Sign Reseller Agreement and pay the first quarter's fee.
Start HereWELCOME EMAIL
Use 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.
ONBOARDING
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 FormACCOUNT SETUP & TESTING
Once 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 EMPLOYER
Email 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.
DAY3COMMUNICATION
Employer sends out communication materials to employees about participating in the Claims Retrieval Program.
DAY 3-5EOB RETRIEVAL
Employees 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 5-15REMINDER EMAILS
After 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 11TECH SUPPORT
Unlimited inbound calls and emails to Kadalyst to assist employees with any login issues Is provided. Plus, (2) outbound calls to non-registered employees.
DAY 11-15LAST CHANCE
Remind employer to send final emails out to nonenrolled employees before campaign ends.
DAY 14CLAIMS REPORT
(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 15-16Need us to fetch claims data?
Need us to fetch claims data?
Need us to fetch claims data?
Check out what your clients and
their employees will receive.
Employers
If you’re talking to your clients about rate negotiations or becoming self-funded then arm yourself with our marketing and communication materials.
Employees
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.
Check out what your clients and their employees will receive.
Employers
If you’re talking to your clients about rate negotiations or becoming self-funded then arm yourself with our marketing and communication materials.
Employees
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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