Cost management that gives you peace of mind
Containing costs can feel like a constant struggle. Personify Health relieves the hassle with benefits administration and offers better care management that brings peace of mind. On average, plans have 19% lowered allowed costs for groups that elect clinical programs, averaging $82.48 per employee per month (PEPM). We work where you need us to preauthorize procedures correctly, identify incorrect or suspect payments and provider coding mistakes, resolve issues promptly, and so much more to make sure you receive the best cost savings with the best outcomes.
How it works
More accurate payments and claims
We start with claims accuracy and payment integrity to streamline healthcare spending. Our process includes both automated and manual audits during every step in the life of a claim. In this way, 100% of claims are checked multiple times. Our transparent approach includes fee negotiation, subrogation, and eligibility audits—all driven by our analytics and insights. We carefully assess claim accuracy and reimbursement eligibility with a rapid turnaround while quickly detecting fraud and abuse.
Paired with best-in-class Care Management designed to improve member outcomes, reduce healthcare costs, and enhance member satisfaction. It is a proactive and patient-centered approach to managing member health that helps improve health outcomes, reduce hospitalizations, and lower healthcare costs.
Avoiding fraud, waste, and abuse
Advocating for you
Rethinking recovery
Explore our other solutions
Wellbeing
We give members access to holistic solutions that help them prioritize wellbeing as part of their daily routine. Backed by behavior-change science and data-driven personalization, we incentivize people to engage with their health through nudges, gamification, live coaching, and team-based challenges.
Navigation & advocacy
We are the one-stop solution, and the one platform, to help members navigate benefits, care, and costs with confidence. Combining our deep understanding of the healthcare system and people’s unique situations, our expert advocates steer members to the right providers, help them understand and negotiate healthcare costs, and provide clear answers to the question: What comes next?
Care & condition management
We support members at every point of their healthcare journey. From treating a chronic condition to growing a family to navigating a new diagnosis, our care guides, advocates, and health coaches provide person-to-person support as members manage and sustain their health.
Blogs & success stories
