Employers
Lower cost of care without administrative burden.
Celerity works alongside your administrator to send each claim down the path that produces the best outcome without changing your plan, your providers or your ID cards.
You need a way to configure cost containment strategies.
A direct agreement makes sense in one market. A regional network outperforms the national one somewhere else. Reference-based pricing fits a specific population. The hard part was never the idea, it was operationalizing it without another vendor, another file feed and another thing for HR to explain.
One plan. Five paths a claim can take.
In network
The contracted PPO rate applies.
Regional or high-performance
A stronger local network prices it instead.
Direct contract
A negotiated provider agreement applies.
Out of network
Medicare-level pricing and negotiation, with
defense included.
defense included.
Alternative
pricing
Reference-based pricing or another configured method.
LOWER TOTAL COST
Your member sees one plan. Each claim takes the path designed for it.
What happens when a claim goes out of network
Members aren't left to argue
Balance bill and appeals management, plus legal defense, handled on the member's behalf.
Advocacy and navigation
Claim support and member navigation come with the pricing strategy, not as an add-on.
Compliance handled
Benefit plan and compliance support managing changing regulation and dispute resolution.
WHY EMPLOYERS CHOOSE CLAIMSBRIDGE
Nothing changes for members
Same plan, same ID
card, same providers.
Nothing new for HR to
administer.
card, same providers.
Nothing new for HR to
administer.
Your administrator keeps its systems
Your rules run inside your TPA's environment, not a separate one they have to manage.
Start with one
opportunity
Fix out-of-network, add a network option, or introduce alternative pricing. Not a plan redesign.
Fee and savings
guarantee
Transparent pricing, no hidden fees, and a guaranteed reduction in out-of-network cost.