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Insurance Operations - The Transparent Way

Transparent Health provides operational services for Third Party Administrators and health insurance carriers.

Our Concierge Customer Service works with self-funded health plans to ensure members understand their benefits and are able to utilize the cost-savings measures the drive down plan costs. We start each plan year with an outbound welcome call to explain the plan to the member and guide them on how to use their benefits most effectively. We then take both member and provider customer service calls to ensure smooth operation of the plan throughout the year.

Our Veridy Billing and Funds Management service provides a fully managed billing solution. The Veridy system provides enrollment and eligibility, invoicing, payment processing (including individual and group billing), and a suite of portals that enable employers, vendors, and members to view their policy details, invoice, and payment.

SERVICES

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BENEFITS NAVIGATION

Creating member engagement in the beginning of the plan year
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PORTAL TECHNOLOGY

Online portals for Employees, Employers and Vendors
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BILLING & COMMISSION

Invoicing, Payment processing, Funds distribution & Remittance
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ENROLLMENT

Individual and Group Enrollment solutions
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PROVIDER SERVICES

Single point of contact for Claims & Eligibility
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MOBILE APPLICATION

ID Cards, Benefits info, Claim access & 1-Click Service acess