Trusted by 100+ employers and 1.5M+ families to regain control of their healthcare spend.
confidential & proprietary
Monies owed through unrealized benefits remain out of reach.
Received erroneous bills2
45%
74%
Forfeited FSA funds3
47%
of families struggle to afford healthcare1
Missed filing for eligible voluntary benefits4
90%
References: [1] 2024 KFF survey, [2] 2024 The Commonwealth Fund, [3] 2024 EBRI, [4] 2019 SHRM
confidential & proprietary
https://www.voya.com/news/2021/03/voya-financial-introduces-new-claims-model-to-help-american-workers-maximize-their
https://www.voya.com/news/2021/03/voya-financial-introduces-new-claims-model-to-help-american-workers-maximize-their
https://www.ebri.org/content/new-analysis-of-3.2-million-flexible-spending-accounts-finds-average-contributions-increasing-while-half-forfeiting-funds-to-their-employers
Unlock and healthcare dollars with optimized benefits.
reporting and analytics
claims data
benefits optimization
proactive PAYMENT ADVOCACY
Past and ongoing, all covered lives.
Recovery of claim overpayment, voluntary benefits and FSA dollars.
Opportunity analysis, real-time reporting, and member-benefit fit simulations.
Year-round contextual recommendations, utilization and expense prediction.
confidential & proprietary
Do you have any outcomes or ROI metrics that you can share?
Reclaiming healthcare dollars.
ACROSS OUR BOB
Per 10K covered families
No benefit reduction
$6.3M
No member behavior change
real dollars back in employer's budget and employees' pockets for every 10K covered families per year
Employer & employees
Employees
Employer & employees
100% Employer
Owed benefits
Benefit elections
Payment recovery
Medicare transitions
- Overcharge recovery
- Bill negotiation
- Patient credits
- Benefit adoption
- Increased pre-tax
- Medicare transitions
- Voluntary benefits
- Wellness credits
- FSA reimbursements
~ 3.5% of total medical spend
confidential & proprietary
How are you different?
One-time activation unlocks ongoing savings.
24/7/365 review and recovery
100% of claims reviewed
From the smallest co-pay to the largest hospitalization and everything in between.
Easy program activation
No employee action
Employees asked to activate Reclaim in the flow of their benefit enrollment, enabling recovery services for past and future bills.
We handle everything from identification to resolution and recovery.
Employees automatically sign off on Reclaim as part of enrolling in their benefits, enabling recovery services for past and future bills.
79%
100%
Broad impact to all
enrolled in Reclaim's program as part of their group health plan.
electively enroll at benefit enrollment across our BoB.
We serve 100% of covered employees and their dependents
activations enabling recovery without employee action.
Rollout anytime!
Integrated with your existing ecosystem
Automatic
Elective
Independent of OE
Existing data arrangements w/ TPAs and carriers, no plan/benefit disruptions
confidential & proprietary
Analytics, Insights, Benefit Simulation.
analyze
engage
recover
report
Proven trust & improved affordability through personalized recommendations.
"Very helpful for employees to evaluate their options and personal needs. It drove much higher participation into our new plan than anticipated, which was great!"
"Thank you for the analysis of the current medical plan spending and recommending I change plans because I am overpaying. That info is very helpful!"
72%
1.9x
Act on our recommendations
Adopt optimal benefits
Administrative staff
Sr. Mngr, Health & Wealth
College University
Energy Company
confidential & proprietary
Analytics, Insights, Benefit Simulation.
analyze
engage
recover
report
Immediate visibility into savings and benefits engagement opportunities.
Detailed claims data offers insights into bill savings opportunities and sensitivity analysis through simulating product-member fit, personalized to your own plan members needs.
confidential & proprietary
"I had no clue I could get this reimbursed!"
background
Matt had a sports injury that left him with several fractured bones that had him skip weeks from work. Matt forgot he had enrolled in an accident plan and had been auto-renewing it. Reclaim detected he is eligible for a voluntary benefit (VB) payout and proactively filed and secured the payment on his behalf.
VB issues reimbursement
employee saved
reclaim monitors status
reclaim detects VB opportunity
reclaim initiates Filing
Check mailed to employee with final payout confirmed.
Status updates, incl. follow up on addt'l documentation.
Upon claims data receipt, AI triggers accident payout.
Automated filing for preferred voluntary benefit partners.
$18K
confidential & proprietary
Reversed patient overpayments
Correcting miscoding, duplicate claims, etc.
FSA, voluntary reimbursements
Employee spotlight
Employee spotlight
"Thank you for reviewing my current medical plan spending and recommending I change plans because I am overpaying! Very helpful!"
First name
Role and perhaps context as to how much she got in payouts.
"I had no clue I am owed money. Thank you very much for helping me get reimbursed! Very much appreciated!"
"I had no clue I am owed money. Thank you very much for helping me get reimbursed! Very much appreciated!"
First name
First name
First name
Role and perhaps context as to how much she got in payouts.
Role and perhaps context as to how much she got in payouts.
Role and perhaps context as to how much she got in payouts.
https://ttlc.intuit.com/community/tax-credits-deductions/discussion/if-i-receive-a-refund-from-a-medical-provider-paid-through-an-hsa-account-is-it-necessary-to-deposit/00/46839
https://www.reddit.com/r/personalfinance/comments/1hppdnh/refund_to_fsa_card_not_hitting_until_2025_what/
"Thank you for ensuring I was not double billed!"
background
An employee had a diagnostic colonoscopy that turned into a treatment colonoscopy with polyp removal. The employee (and employer) were billed for both services, when the treatment colonoscopy should have only been billed.
employeE saved
AI detects coding Error
reclaim requests bill review
provider re- submits claim
TPA processes employer credit
WE reconcile patient credit
$1K
AI alerts Reclaim advocates of bill error & detailed course of action. Opportunity shared with employer & employee.
We contact provider requesting bill review & ensuring bill collection is paused. Status shared with employer & employee.
Formal claim re-submission allows noting credits for both employer & employee. Status shared with employer & employee.
TPA adjusts claim(s) & issues employer credits. Reclaim monitors claim adjustment and credits in next claims feed.
We request provider reimburse patient. When applicable, we coordinate with member to process HSA mistaken distribution.
employeR saved
$4K
confidential & proprietary
Reversed patient overpayments
Correcting miscoding, duplicate claims, etc.
FSA, voluntary reimbursements
Employee spotlight
Employee spotlight
"Thank you for reviewing my current medical plan spending and recommending I change plans because I am overpaying! Very helpful!"
First name
Role and perhaps context as to how much she got in payouts.
"I had no clue I am owed money. Thank you very much for helping me get reimbursed! Very much appreciated!"
"I had no clue I am owed money. Thank you very much for helping me get reimbursed! Very much appreciated!"
First name
First name
First name
Role and perhaps context as to how much she got in payouts.
Role and perhaps context as to how much she got in payouts.
Role and perhaps context as to how much she got in payouts.
analyze
engage
recover
report
Personalized benefits recommendations and budgeting from day 1.
Collaborative filtering yielding time-based utilization predictions. Out of pocket prediction & pre-tax contribution optimization.
"Having actual claims data makes it do its magic! Employees appreciate the valuable insight and guidance it provides."
Director, Total Rewards
Financial Services Company
confidential & proprietary
analyze
engage
recover
report
Optimizing every dollar spent on healthcare.
confidential & proprietary
engage
analyze
report
recover
Personalized. Powered by claims data.
Comprehensive, line by line medical and Rx claims for all covered lives. Claims access through our existing data use agreements with TPAs nationwide or employer's data warehouse.
confidential & proprietary
analyze
engage
recover
report
Proactive claims review and resolution.
Proprietary algorithms highlighting:
- claim inaccuracies issues,
- owed patient credits,
- voluntary benefits, and
- ancillary programs.
"Thank you for your thorough review! I had no idea I could get this corrected. Very much appreciated!!"
Sr. Logistics Manager
Mfg. Company
confidential & proprietary
Proven rollout: integrated into your ecosystem to maximize impact.
3.
2.
4.
1.
Rollout
Benefits
Delivery
Claims
Member-facing web and mobile app and employer analytics dashboard.
Automatic by amending plan docs, or elective at benefit enrollment.
Summary of benefit coverages (SBCs), benefit enrollment and eligibility.
Established data feeds with national and growing number of regional TPAs.
confidential & proprietary
Employee spotlight
Employee spotlight
"Thank you for reviewing my current medical plan spending and recommending I change plans because I am overpaying! Very helpful!"
First name
Role and perhaps context as to how much she got in payouts.
"I had no clue I am owed money. Thank you very much for helping me get reimbursed! Very much appreciated!"
"I had no clue I am owed money. Thank you very much for helping me get reimbursed! Very much appreciated!"
First name
First name
First name
Role and perhaps context as to how much she got in payouts.
Role and perhaps context as to how much she got in payouts.
Role and perhaps context as to how much she got in payouts.
Trusted by 100+ employers and 1.5M families to control of their healthcare spend.
confidential & proprietary
General Atomics + Reclaim Health Intro call_10.17.25
Reclaim Health
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Transcript
Trusted by 100+ employers and 1.5M+ families to regain control of their healthcare spend.
confidential & proprietary
Monies owed through unrealized benefits remain out of reach.
Received erroneous bills2
45%
74%
Forfeited FSA funds3
47%
of families struggle to afford healthcare1
Missed filing for eligible voluntary benefits4
90%
References: [1] 2024 KFF survey, [2] 2024 The Commonwealth Fund, [3] 2024 EBRI, [4] 2019 SHRM
confidential & proprietary
https://www.voya.com/news/2021/03/voya-financial-introduces-new-claims-model-to-help-american-workers-maximize-their
https://www.voya.com/news/2021/03/voya-financial-introduces-new-claims-model-to-help-american-workers-maximize-their
https://www.ebri.org/content/new-analysis-of-3.2-million-flexible-spending-accounts-finds-average-contributions-increasing-while-half-forfeiting-funds-to-their-employers
Unlock and healthcare dollars with optimized benefits.
reporting and analytics
claims data
benefits optimization
proactive PAYMENT ADVOCACY
Past and ongoing, all covered lives.
Recovery of claim overpayment, voluntary benefits and FSA dollars.
Opportunity analysis, real-time reporting, and member-benefit fit simulations.
Year-round contextual recommendations, utilization and expense prediction.
confidential & proprietary
Do you have any outcomes or ROI metrics that you can share?
Reclaiming healthcare dollars.
ACROSS OUR BOB
Per 10K covered families
No benefit reduction
$6.3M
No member behavior change
real dollars back in employer's budget and employees' pockets for every 10K covered families per year
Employer & employees
Employees
Employer & employees
100% Employer
Owed benefits
Benefit elections
Payment recovery
Medicare transitions
~ 3.5% of total medical spend
confidential & proprietary
How are you different?
One-time activation unlocks ongoing savings.
24/7/365 review and recovery
100% of claims reviewed
From the smallest co-pay to the largest hospitalization and everything in between.
Easy program activation
No employee action
Employees asked to activate Reclaim in the flow of their benefit enrollment, enabling recovery services for past and future bills.
We handle everything from identification to resolution and recovery.
Employees automatically sign off on Reclaim as part of enrolling in their benefits, enabling recovery services for past and future bills.
79%
100%
Broad impact to all
enrolled in Reclaim's program as part of their group health plan.
electively enroll at benefit enrollment across our BoB.
We serve 100% of covered employees and their dependents
activations enabling recovery without employee action.
Rollout anytime!
Integrated with your existing ecosystem
Automatic
Elective
Independent of OE
Existing data arrangements w/ TPAs and carriers, no plan/benefit disruptions
confidential & proprietary
Analytics, Insights, Benefit Simulation.
analyze
engage
recover
report
Proven trust & improved affordability through personalized recommendations.
"Very helpful for employees to evaluate their options and personal needs. It drove much higher participation into our new plan than anticipated, which was great!"
"Thank you for the analysis of the current medical plan spending and recommending I change plans because I am overpaying. That info is very helpful!"
72%
1.9x
Act on our recommendations
Adopt optimal benefits
Administrative staff
Sr. Mngr, Health & Wealth
College University
Energy Company
confidential & proprietary
Analytics, Insights, Benefit Simulation.
analyze
engage
recover
report
Immediate visibility into savings and benefits engagement opportunities.
Detailed claims data offers insights into bill savings opportunities and sensitivity analysis through simulating product-member fit, personalized to your own plan members needs.
confidential & proprietary
"I had no clue I could get this reimbursed!"
background
Matt had a sports injury that left him with several fractured bones that had him skip weeks from work. Matt forgot he had enrolled in an accident plan and had been auto-renewing it. Reclaim detected he is eligible for a voluntary benefit (VB) payout and proactively filed and secured the payment on his behalf.
VB issues reimbursement
employee saved
reclaim monitors status
reclaim detects VB opportunity
reclaim initiates Filing
Check mailed to employee with final payout confirmed.
Status updates, incl. follow up on addt'l documentation.
Upon claims data receipt, AI triggers accident payout.
Automated filing for preferred voluntary benefit partners.
$18K
confidential & proprietary
Reversed patient overpayments
Correcting miscoding, duplicate claims, etc.
FSA, voluntary reimbursements
Employee spotlight
Employee spotlight
"Thank you for reviewing my current medical plan spending and recommending I change plans because I am overpaying! Very helpful!"
First name
Role and perhaps context as to how much she got in payouts.
"I had no clue I am owed money. Thank you very much for helping me get reimbursed! Very much appreciated!"
"I had no clue I am owed money. Thank you very much for helping me get reimbursed! Very much appreciated!"
First name
First name
First name
Role and perhaps context as to how much she got in payouts.
Role and perhaps context as to how much she got in payouts.
Role and perhaps context as to how much she got in payouts.
https://ttlc.intuit.com/community/tax-credits-deductions/discussion/if-i-receive-a-refund-from-a-medical-provider-paid-through-an-hsa-account-is-it-necessary-to-deposit/00/46839
https://www.reddit.com/r/personalfinance/comments/1hppdnh/refund_to_fsa_card_not_hitting_until_2025_what/
"Thank you for ensuring I was not double billed!"
background
An employee had a diagnostic colonoscopy that turned into a treatment colonoscopy with polyp removal. The employee (and employer) were billed for both services, when the treatment colonoscopy should have only been billed.
employeE saved
AI detects coding Error
reclaim requests bill review
provider re- submits claim
TPA processes employer credit
WE reconcile patient credit
$1K
AI alerts Reclaim advocates of bill error & detailed course of action. Opportunity shared with employer & employee.
We contact provider requesting bill review & ensuring bill collection is paused. Status shared with employer & employee.
Formal claim re-submission allows noting credits for both employer & employee. Status shared with employer & employee.
TPA adjusts claim(s) & issues employer credits. Reclaim monitors claim adjustment and credits in next claims feed.
We request provider reimburse patient. When applicable, we coordinate with member to process HSA mistaken distribution.
employeR saved
$4K
confidential & proprietary
Reversed patient overpayments
Correcting miscoding, duplicate claims, etc.
FSA, voluntary reimbursements
Employee spotlight
Employee spotlight
"Thank you for reviewing my current medical plan spending and recommending I change plans because I am overpaying! Very helpful!"
First name
Role and perhaps context as to how much she got in payouts.
"I had no clue I am owed money. Thank you very much for helping me get reimbursed! Very much appreciated!"
"I had no clue I am owed money. Thank you very much for helping me get reimbursed! Very much appreciated!"
First name
First name
First name
Role and perhaps context as to how much she got in payouts.
Role and perhaps context as to how much she got in payouts.
Role and perhaps context as to how much she got in payouts.
analyze
engage
recover
report
Personalized benefits recommendations and budgeting from day 1.
Collaborative filtering yielding time-based utilization predictions. Out of pocket prediction & pre-tax contribution optimization.
"Having actual claims data makes it do its magic! Employees appreciate the valuable insight and guidance it provides."
Director, Total Rewards
Financial Services Company
confidential & proprietary
analyze
engage
recover
report
Optimizing every dollar spent on healthcare.
confidential & proprietary
engage
analyze
report
recover
Personalized. Powered by claims data.
Comprehensive, line by line medical and Rx claims for all covered lives. Claims access through our existing data use agreements with TPAs nationwide or employer's data warehouse.
confidential & proprietary
analyze
engage
recover
report
Proactive claims review and resolution.
Proprietary algorithms highlighting:
"Thank you for your thorough review! I had no idea I could get this corrected. Very much appreciated!!"
Sr. Logistics Manager
Mfg. Company
confidential & proprietary
Proven rollout: integrated into your ecosystem to maximize impact.
3.
2.
4.
1.
Rollout
Benefits
Delivery
Claims
Member-facing web and mobile app and employer analytics dashboard.
Automatic by amending plan docs, or elective at benefit enrollment.
Summary of benefit coverages (SBCs), benefit enrollment and eligibility.
Established data feeds with national and growing number of regional TPAs.
confidential & proprietary
Employee spotlight
Employee spotlight
"Thank you for reviewing my current medical plan spending and recommending I change plans because I am overpaying! Very helpful!"
First name
Role and perhaps context as to how much she got in payouts.
"I had no clue I am owed money. Thank you very much for helping me get reimbursed! Very much appreciated!"
"I had no clue I am owed money. Thank you very much for helping me get reimbursed! Very much appreciated!"
First name
First name
First name
Role and perhaps context as to how much she got in payouts.
Role and perhaps context as to how much she got in payouts.
Role and perhaps context as to how much she got in payouts.
Trusted by 100+ employers and 1.5M families to control of their healthcare spend.
confidential & proprietary