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Financial advocacy
AI-powered
financial advocacy
Proactively manage healthcare spend with Reclaim's claims-driven healthcare financial advocacy platform.
Our process
Real dollar savings. At your members' fingertips.
Effortless activation. Proactive recommendations. Dedicated advocacy.
Hassle-free bill access
Reclaim accesses past and ongoing claims data for all you plan members, in partnership with the health plan. No insurance portal logins, no bill uploads.
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AI-powered bill review
Reclaim's proprietary algorithms uncover overbilled services, adjudication errors, benefit payment opportunities, and other savings opportunities.
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Proactive engagement
Reclaim proactively notifies plan members, highlighting ways they could get the most out of their benefits.
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RECLAIM
Taylor
AI powered, with a human touch
Reclaim's financial advocates give your members peace of mind and real dollars back to their pockets.
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Proactive advocacy
You and your members deserve peace of mind.
We are not a call center. Reclaim's AI proactively alerts our financial advocates of savings opportunities to go after on behalf of you and your your members.
Others are reactive.
Reclaim is proactive.
Other advocacy solutions wait on members to reach them and expect detailed documentation to help.
Guided by Reclaim's AI, our advocates proactively correct bills and file for reimbursements.
Features
Comprehensive. Personalized.
Proactively manage healthcare spend with Reclaims claims-driven healthcare financial advocacy platform.
- Proactive bill review
Reclaim's AI contextualizes your membership claims as health visits and uncovers savings opportunities.
- Possible overbilling alerts
Through the lens of health visits, Reclaim's AI sifts through patterns of overbilling and highlights potential adjudication errors.
- Payout opportunities
Reclaim identifies qualified health events and estimates voluntary benefit payouts for eligible plan members.
- Proactive human advocacy
Reclaim's technology proactively alerts our financial advocates to coordinate payout filings and bill corrections.
- Cost-effective benefits education
Highlight cost-effective network options and relevant ancillary programs in the context of the members' health visits.
- Portable across TPAs
Reclaim offers your members a continued experience no matter who you choose as your claims administrator.
- Current plan performance
Assess current coverage performance in the context of the member's recent healthcare transactions.
- Care utilization prediction
Reclaim's AI predicts each member's evolving care needs by matching them to people with a similar healthcare journey.
- Continued care access
Reclaim proactively ensured the member's recently visited providers are covered by their eligible plan options.
- Out of pocket cost estimation
Reclaim's AI estimates each family's out of pocket cost for all their eligible plans and various care utilization scenarios.
- Voluntary benefit recommendations
Reclaim estimates potential payouts, personalized to each family's predicted needs over time.
- Medicare transitions
For 65+ members, Reclaim analyzes MA plan options, optimizing for continued access to care and seamless transition.
Give your members a clear bill of health
Contact us
Reach out to a consultation expert to learn more about our proactive healthcare financial advocacy platform.
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Schedule a demo
Schedule a live demo to see our platform's capabilities saves your plan members money and boosts your healthcare benefits.
