barbara@wildblackberrystudio.com

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So far Barbara Evans has created 8 blog entries.

Meet the Team! – Jeffrey Penn

Jeffrey Penn, FAHM: Powering Growth

We recently had the opportunity to chat with Jeff Penn, Vice President of Business Development at ClaimsBridge, to uncover his unique journey with the company and explore what makes ClaimsBridge an exceptional place to work. Jeff’s story is one where freedom and growth is supported by the ClaimsBridge culture of collaboration and creativity from the bedrock of a thriving work environment.

Q: What initially attracted you to join our company, and what has made you stay?

It’s definitely the people; folks like Bob Schmidt, Mike Tosti. Mike was the real catalyst behind it all. We’ve worked together in the past and he’d had a great experience with ClaimsBridge. And the fact is their portfolio was attractive. It was clear that I had the ability to enhance it, which we’ve done. So those were the primary factors: simply relationships and product portfolio.

Q: Work-life balance is crucial. How would you describe it at ClaimsBridge?

We work from home, so it’s an ideal scenario.  I work constantly because that’s how I’m wired, but I can take breaks. I have a really nice set of trails right at the back door here, so if I want to go grab a quick 30-minute bike, I can do that.  It’s a mountain bike ride, so I get a good pump in 30 minutes and I come back energized for the rest of the day. Kevin Gibson as a CEO is very, very people-oriented, which is good and that’s a great culture to be in.

“The culture embraces ideas, assertiveness, and creativity. I’ve got the keys and I’m free to drive my ideas.”

Q: Can you describe your most significant achievement or project during your time at the company and how it impacted the organization?

It’s distribution and expansion of the product portfolio which encompasses our Connect Services, High Performance Networks, RBP platform and Blue Cross networks. We offer the most unique product portfolio in the industry which has enabled significant growth, and we are tracking to escalate revenues dramatically this year once again.

Q: How has your role evolved since you joined the company, and what steps have you taken to adapt to those changes?

I spearheaded efforts to increase our visibility in the TPA area and helped to enhance the product portfolio. We have seen dramatic revenue growth as a result.  Health systems sponsoring direct-to-employer initiative (D2E) and direct contracting by self-funded employers/TPAs is a trend and we have the ideal solution to ensure success for all parties. Our RBP platform is incredibly unique and has demonstrated substantial savings.

Q: How do you think our company’s culture and values impact the way we work and make decisions?

The culture embraces ideas, assertiveness and creativity. I’ve got the keys and I’m free to drive my ideas. It’s a positive culture, a great group of people in all departments, a warm atmosphere.

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2024-02-27T15:10:23-05:00February 27, 2024|

Enhanced Provider-Directory Search Function

🎉 Exciting News from ClaimsBridge! Explore our Enhanced Provider/Directory Search Function! 🌐

We’re thrilled to announce upgrades to the Provider/Directory Search function in our client portal. At ClaimsBridge, we understand the importance of a seamless user experience, and that’s why we’ve implemented a brand-new responsive design.

🚀 What’s New? Our enhanced design ensures a user-friendly and adaptive interface, making it easier than ever for our clients to navigate and find the information they need. Whether you’re searching for healthcare providers or exploring our networks, the updated design promises efficiency and a fresh, modern look.

🔍 Experience the Upgrade! Log in to our client portal and explore the enhanced Provider/Directory Search function. We believe this upgrade will elevate your user experience and streamline your interactions with ClaimsBridge Navigator.

🤝 Thank you for Trusting ClaimsBridge! We’re dedicated to innovation and excellence, and this upgrade is just one example of our commitment to providing top-notch services to our valued clients.

#ClaimsBridgeNavigator #HealthcareInnovation #ClientPortal #ResponsiveDesign #HealthcareTechnology

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2023-12-11T20:57:44-05:00December 11, 2023|

Meet the Team! – Sean Grimes

Sean Grimes: Professional Growth in a Supportive Culture

At ClaimsBridge, we pride ourselves on our close-knit community and the dedication of our team members. Today, we’re shining a spotlight on one of our long-standing employees, Sean Grimes, who has been instrumental in our growth and success. Sean is a Senior Technical Analyst who creates and maintains our reporting database and user interfaces for ClaimsBridge software solutions. Sean has been with ClaimsBridge for over 9 years.

Why ClaimsBridge?

When asked about how he came to ClaimsBridge, Sean shared a story of small company charm and the allure of a family-like atmosphere. Initially introduced to the company by a former colleague, he was drawn to the relaxed environment and the comfortable atmosphere. “It’s always wonderful to have a casual and relaxed environment. For example, our team can wear casual clothes to the office. I feel I can be more productive and focused when I am working in a comfortable environment,” he shared.

One of his first impressions of the company was shaped by a candid conversation with Bob, the former CEO. His genuine interest in his aspirations and the company’s close-knit nature made him feel right at home. The opportunity to juggle multiple roles and delve into different areas of the company was a significant pull, ensuring no day was monotonous.

“Everybody helps to make the company profitable and move forward. It’s great that we have a common understanding of our goals.”

Work-Life Balance at ClaimsBridge

Sean describes the work-life balance as a blend of challenges and rewards. While there are times when the workload demands extra hours, the company’s understanding nature ensures employees can take breaks when needed. “Everybody helps to make the company profitable and move forward. It’s great that we have a common understanding of our goals,” he noted.

The company’s culture promotes mutual support. Whether it’s covering for a colleague or stepping in to assist with a project, the team always has each other’s backs. This collaborative spirit, combined with management’s genuine care for employees’ well-being, fosters a balanced work environment.

Achievements and Growth

One of Sean’s most significant achievements was revamping the scanning software used for converting paper claims to electronic format. This initiative streamlined the process, enhancing efficiency and reducing manual intervention. “It enabled the mailroom department to significantly reduce the amount of time it took for them to handle the claims,” he stated. “It was an interesting project where I knew I could address the growing need with automating technology and optimized processes. It was really satisfying to know I was helping my colleagues with a very manual, slow, and tedious process.”

Over the years, Sean’s role has evolved, taking on more responsibilities, from training junior programmers to overseeing client implementations. The company’s rapid growth has presented challenges, but with a supportive team and a passion for learning, he has adeptly navigated these changes.

Company Culture and Values

ClaimsBridge’s culture is rooted in camaraderie and mutual respect. The open-door policy ensures everyone’s voice is heard and decisions are made with the company’s and employees’ best interests in mind. “You just get the feeling that nobody’s uptight; everybody’s approachable,” he emphasized.

The company’s growth, from processing 400,000 claims when he started to recently hitting the 100 million mark, is a testament to the team’s dedication and hard work.

Sean’s journey with ClaimsBridge is a testament to the company’s commitment to its values and its people. As we continue to grow and evolve, we remain grounded in our mission to provide a supportive environment where every team member can thrive.

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2023-11-06T16:31:24-05:00December 4, 2023|

Beyond Compliance: How ClaimsBridge is Setting a New Standard in Out-of-Network Cost Containment

In today’s healthcare landscape, one of the most pressing challenges faced by patients and providers alike is the escalating cost of out-of-network (OON) care. As healthcare becomes more complex, the need for solutions that can simplify the process and contain these costs becomes paramount.

Understanding Out-of-Network Costs and the Impact of the No Surprises Act

When patients receive care from providers that are not part of their insurance network, they often encounter higher fees. These OON providers have not negotiated rates with the patient’s insurance company, leading to increased costs that are often passed on to the patient. This can result in unexpected and burdensome medical bills, causing financial strain for many individuals and families, as well as their employers.

The No Surprises Act (NSA), which came into effect in the United States on January 1, 2022, is designed to protect consumers from unexpected and exorbitant medical bills for OON services. The NSA provides for balance billing protection, transparent pricing, an independent dispute resolution (IDR)process, qualifying payment amount (QPA), the advance explanation of benefits, patient-provider dispute resolution options, and requires machine-readable files from HCPs and insurers regarding service costs.

The burden of compliance falls on health plan providers and TPAs to foster a more transparent, fair, and consumer-friendly healthcare environment. As TPAs and health plan providers seek innovative solutions, many forward-thinking companies are turning to ClaimsBridge.

The ClaimsBridge Solution

ClaimsBridge recognizes the challenges posed by high out-of-network costs and is dedicated to transforming the healthcare claims lifecycle with technology-enabled services. With an end-to-end claims ecosystem, ClaimsBridge delivers high-performance solutions that aim to reduce costs, increase accuracy, and set a new standard for the entire healthcare claims process.

Our OON solutions facilitate NSA compliance. ClaimsBridge has teamed up with a leader in healthcare data analytics to automatically update any OON claim with a QPA value. We are prepared to provide health plans with comprehensive services to comply with every aspect of the IDR Process from the commencement of the Open Negotiation Period to the final resolution. The ClaimsBridge Celerity Engine also delivers machine-readable files, and the NSA-required “allowed amount” file.

Beyond compliance, we like to show quick results that directly address cost containment and efficiency – for clients and prospective clients. We often engage health plans and TPAs in a brief yet incredibly valuable claims file analysis activity that quickly illustrates potential cost savings and ROI. Since we are already integrated with over two dozen claims adjudication platforms, we can usually implement 2-way connectivity within weeks. We then establish pricing parameters, adjust OON products to include options such as full legal support, configure the features of the programs at an employer group level, and adjust pricing based on employer, geography, and provider type. The flexibility and custom nature of the solution extend to pricing models as well. Our pricing structure can be based on a percentage of savings or flat PEPM and can be adjusted by employer group.

ClaimsBridge already integrates with custom provider networks, offers clearinghouse capabilities, and routes to national networks, so we can add OON services with efficiencies of scale. While our competition may execute similar programs, they can’t offer similar results because most are larger organizations saddled with large overhead expenses, manual processes, and legacy technologies. By combining advanced technology and industry expertise within an intentionally lean organization, ClaimsBridge can deliver custom cost-containment services that meet the challenge of out-of-network costs. Our out-of-network services provide a comprehensive approach to managing these claims, ensuring cost containment across the ecosystem.

Conclusion

As the healthcare industry continues to evolve, the problem of high out-of-network costs remains a significant concern. However, with innovative solutions like those offered by ClaimsBridge, there is hope for a more streamlined and cost-effective future for healthcare claims. By prioritizing accuracy, efficiency, and patient well-being, ClaimsBridge is leading the way in containing healthcare costs and simplifying the claims process for all involved.

We believe you are paying too much for out of network claims. At ClaimsBridge, we are committed to delivering real and measurable value to our clients. We stand behind our promise with both fee and savings guarantees:

Beyond compliance, we like to show quick results that directly address cost containment and efficiency – for clients and prospective clients. We often engage health plans and TPAs in a brief yet incredibly valuable claims file analysis activity that quickly illustrates potential cost savings and ROI. Since we are already integrated with over two dozen claims adjudication platforms, we can usually implement 2-way connectivity within weeks. We then establish pricing parameters, adjust OON products to include options such as full legal support, configure the features of the programs at an employer group level, and adjust pricing based on employer, geography, and provider type. The flexibility and custom nature of the solution extend to pricing models as well. Our pricing structure can be based on a percentage of savings or flat PEPM and can be adjusted by employer group.

ClaimsBridge already integrates with custom provider networks, offers clearinghouse capabilities, and routes to national networks, so we can add OON services with efficiencies of scale. While our competition may execute similar programs, they can’t offer similar results because most are larger organizations saddled with large overhead expenses, manual processes, and legacy technologies. By combining advanced technology and industry expertise within an intentionally lean organization, ClaimsBridge can deliver custom cost-containment services that meet the challenge of out-of-network costs. Our out-of-network services provide a comprehensive approach to managing these claims, ensuring cost containment across the ecosystem.

Fee Guarantee:

No Surprises

Fee Guarantee:

We offer transparent pricing, with no hidden fees or surprises. You’ll know exactly what you’re paying for, allowing you to budget with confidence.

Savings Guarantee:

Significant Impact

Savings Guarantee:

When you choose ClaimsBridge, you’re choosing savings. We guarantee that you’ll see a significant reduction in out-of-network costs when you partner with us.

2023-11-21T11:33:58-05:00November 21, 2023|

Meet the Team! – Meggan Griggs

Meggan Griggs: Discovering the Heart of ClaimsBridge

We recently had the opportunity to chat with Meggan Griggs, a dedicated and passionate Account Manager at ClaimsBridge, to uncover her unique journey with the company and explore what makes ClaimsBridge an exceptional place to work. Meggan’s story is a testament to the ClaimsBridge culture, where opportunity, collaboration, and personal growth form the bedrock of a thriving work environment.

Q: Meggan, what initially attracted you to join our company, and what has made you stay?
“I have been with ClaimsBridge for almost three years. I was drawn to the company because it offered me a chance to work in a different position within the healthcare industry,” she shares. Having previously worked on the provider end, the prospect of working behind the scenes intrigued her. “At the time I joined, the company was moving in a new direction, focusing on sales and leveraging past successes with clients,” Meggan continues. The excitement of being part of this transformational journey motivated her to take the leap.

Yet, it was more than just the opportunity that convinced Meggan to stay. “The main reason I have stayed is because of the people I work with,” she notes. At ClaimsBridge, the spirit of teamwork and an open-door policy create an atmosphere of constant support. “Our ideas are heard and validated, which is an important part of our culture here at ClaimsBridge,” she adds.

Q: Work-life balance is crucial. How would you describe it at ClaimsBridge?
Meggan’s response reflects the heart of the organization. “I think we have a very positive work-life balance at ClaimsBridge,” she states. The leadership, including Kevin, has fostered a culture of understanding and flexibility. Taking time off for personal appointments or family commitments is never frowned upon. “We work hard when we are here, but there’s always a willingness among the team to help each other out,” she acknowledges, emphasizing the sense of camaraderie.

Q: What support or resources have you received to help maintain balance?
Despite being a lean team, ClaimsBridge boasts a deep pool of talent that readily steps in to provide support. “Everyone is willing to help whenever needed,” Meggan attests. From Kevin to Maria and others, the entire team is always ready to roll up their sleeves and assist. “This collaborative approach ensures that no one feels isolated or overwhelmed,” she affirms.

Q: Can you describe your most significant achievement or project during your time with the company and how it impacted the organization?
With pride, Meggan shares her most significant project – building the implementation process. Her journey involved filling the gaps and ensuring the smooth implementation of ClaimsBridge services. “It’s an ongoing project, and we are continuously learning and improving,” she explains. I believe this work has impacted the organization by enhancing our ability to serve clients more effectively and to potentially capture new opportunities.”

Q: How has your role evolved since you joined the company?
Meggan’s versatility shines through as she narrates her role’s evolution. “Recognizing the need for strong implementation processes, I took on project management responsibilities,” she reveals. Over time, she’s been involved in various aspects of implementation and account management. “I appreciate the flexibility and opportunity to find my best fit within the company,” Meggan emphasizes. The company’s supportive nature allowed her to grow into a role where she truly thrives.

Q: It sounds like with a smaller company, there’s a lot of opportunity for personal growth. You can find your place and grow within the organization.
“Absolutely,” Meggan agrees. At ClaimsBridge, team members wear different hats, which allows them to explore and identify their true passions. “As the company grows, we evaluate team members’ skill sets and provide opportunities for personal and professional growth,” she adds with enthusiasm.

Q: How do you think the company’s culture and values impact the way you work and make decisions collectively?
Meggan is quick to emphasize the impact of the company’s culture and values on the work environment. “We have a collaborative environment where teams from different departments come together to contribute and share ideas,” she shares. This collaborative spirit empowers them to address challenges, meet client demands, and find innovative solutions. “We work together to ensure our decisions align with our client’s needs and the values we hold dear.”

Q: Anything else you’d like to share about what it’s like to work at ClaimsBridge or what you’d want someone considering a position at ClaimsBridge to know about the organization?

“Working here feels like being part of an exciting startup environment,” she beams, “where you can make a difference and contribute to shaping the organization.”

Meggan smiles as she shares her experiences. “ClaimsBridge is very supportive of employees’ career paths and provides the necessary tools for success,” she exclaims. “The open-door policy allows everyone’s voices to be heard, making them feel valued and recognized.
Meggan’s journey with ClaimsBridge encapsulates the heart and soul of the company’s culture. It’s a place where opportunities abound, teamwork thrives, and personal growth is embraced. As ClaimsBridge continues its transformative journey, employees like Meggan remain at the forefront, shaping the company’s success story with their passion and dedication.

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2023-11-06T16:23:33-05:00November 6, 2023|

ClaimsBridge Launches New Career Center on Website

October 4, 2023 – Arnold, MD – ClaimsBridge, a leading healthcare technology company, today announced the launch of their new online Career Center on the ClaimsBridge website 

The Career Center was established to help prospective candidates learn about various aspects of working at ClaimsBridge. The new pages describe the company culture, mission, vision, and values, outline employee benefits, describe the recruitment process, and list all current job openings.  

The Career Center also includes a series of Frequently Asked Questions (FAQs) to help visitors understand how ClaimsBridge handles job applications and interview processes. From the Current Opportunities page, visitors can complete a form and directly upload their resume for consideration for a specific job posting or for future openings.  

“The ClaimsBridge Career Center makes a great first impression,” noted Kevin Gibson, ClaimsBridge CEO. “Our culture and values are critical to our success, so we want to be able to attract top talent and help strong candidates envision becoming part of our team and contributing to our culture. This new area of our website makes great strides toward achieving this goal.” 

The newly launched ClaimsBridge Career Center serves as a comprehensive resource for potential employees, offering them the information they need to make informed decisions. It helps candidates understand specific roles, responsibilities, and qualifications needed, aiding in self-selection. It also gives candidates insights into the employee experience so they can better understand if they align with the company’s mission and work environment. 

The Center is expected to significantly improve the user experience, streamline the recruitment process, and attract quality candidates. 

About ClaimsBridge 

ClaimsBridge is a healthcare technology company providing custom and high-performing networks, direct-to-employer contracting, RBP and Medicare pricing solutions (ClaimsBridge Navigator), and unified end-to-end pre-adjudication infrastructure for the receipt, routing and pricing of medical claims (ClaimsBridge Connect). ClaimsBridge is directly connected to over 120 partners serving self-funded and fully insured employers through their broker and benefit consultants, stop-loss carriers, third-party administrators, healthcare networks, and strategic vendor partners.  For more information about ClaimsBridge service offerings, visit www.claimsbridge.com or call 410.349.3222. 

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2023-10-04T10:22:16-04:00October 4, 2023|

Processing 100 Million Claims

ClaimsBridge Celebrates Milestone: Processing 100 Million Claims

July 5, 2023 – Arnold, MD – ClaimsBridge, a leading healthcare technology company, is thrilled to announce the successful processing of 100 million claims, marking a significant achievement for the company and its revolutionary ClaimsBridge Celerity Engine. This milestone highlights ClaimsBridge’s commitment to delivering scalable and mature solutions that redefine efficiency in the claims processing industry.

ClaimsBridge’s powerful ClaimsBridge Celerity Engine has played a pivotal role in facilitating the processing of this high volume of claims. Designed with state-of-the-art technology built on a powerful rules-based engine, ClaimsBridge Celerity enables ClaimsBridge to process claims with unprecedented speed and accuracy.

The 100 million claims processed by ClaimsBridge carry immense significance not only in terms of volume but also in financial impact. Considering the average medical bill falls between $1500 and $2000, ClaimsBridge’s processing represents an astounding $150-200 billion dollars. This figure showcases the substantial contribution ClaimsBridge has made in ensuring the efficient flow of claims for healthcare providers, insurance companies, and patients alike.

Kevin Gibson, CEO of ClaimsBridge, commented on the considerable milestone, “We are incredibly proud to have reached the milestone of processing 100 million claims. This accomplishment is a testament to the unwavering dedication of our team and the extraordinary capabilities of our ClaimsBridge Celerity Engine. We remain committed to delivering innovative solutions that empower our clients to navigate the complex landscape of claims processing effortlessly.”

Gibson further added, “As we celebrate this achievement, we extend our gratitude to our valued clients and partners who have entrusted us with their claims processing needs. We look forward to continuing to revolutionize the industry and driving further advancements that will shape the future of claims management.”

As an industry leader, ClaimsBridge enables organizations to optimize their operations and accelerate claim settlement processes. With a consistent focus on innovation and customer satisfaction, ClaimsBridge leads the charge in containing healthcare costs by delivering high-performance solutions that raise the bar for the entire healthcare claims lifecycle.

About ClaimsBridge

ClaimsBridge is a healthcare technology company providing custom and high-performing networks, direct-to-employer contracting, RBP and Medicare pricing solutions (ClaimsBridge Navigator), and unified end-to-end pre-adjudication infrastructure for the receipt, routing and pricing of medical claims (ClaimsBridge Connect). ClaimsBridge is directly connected to over 120 partners serving self-funded and fully insured employers through their broker and benefit consultants, stop-loss carriers, third-party administrators, healthcare networks, and strategic vendor partners.  For more information about ClaimsBridge service offerings, visit www.claimsbridge.com or call 410.349.3222.

2023-08-28T17:11:19-04:00July 5, 2023|
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