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Red Bull Follow Up Slides 11102025
Reclaim Health
Created on October 23, 2025
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Transcript
“Got my daughter’s bill knocked down from $800 to a $30 co-pay! I love Reclaim! ”
Dena, Reclaim user
Optimizing every dollar spent on healthcare with AI.
Follow-up 11/10/2025
Contents
Reclaim pricing with performance guarantee
HRA service flows to minimize denials
Data request to validate opportunity analysis
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.
Without decison support
Performance based pricing proposal for Reclaim's healthcare financial advocacy.
Proposed pricing based on a 3-year agreement and automatic enrollment model.
[1] If Reclaim does not achieve Milestone 1, Reclaim will reimburse the difference between the base discounted rate and the total amount recovered. [2] When a financial recovery milestone is achieved, Reclaim earns a PEPM rate increase; the rate increase is retroactive to day 1 of the contract and capped at the Full Rate. One-time implementation fee of $15,000. Agreement to provide reference.
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.
HRA/FSA enhanced process
Minimizing HRA denials and frustrations and preventing FSA forfeitures.
HRA
IDEAL SERVICE FLOW
Member uses card to pay
WEX approves, denial avoided
WEX checks with Reclaim
Documentation needed by WEX
SAFETY NET SERVICE FLOW
Documentation needed by WEX
Member uses card to pay
WEX denies payment
WEX approves, issue resolved
Member informs Reclaim
Reclaim offers WEX substantiation
FSA
WEX substantiates given FSA balance
WEX processes reimbursement
FSA forefeiture averted
Reclaim identify eligible services year end
Reclaim submits eligible services to WEX
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.
Data and validation
Data request to validate our opportunity analysis.
We would love to compare your population insights to our benchmarks across our BoB and validate the opportunity.
Primary
Census
Summary plan descriptions (SPDs)
WEX approves, issue resolved
Benefit brochures
PMPM cost by type of service (inpatient, outpatient, ER, Rx, office, diagnsotic, mental health)
Inpatient admit and ER visit rates
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.
Data and validation
Additional data that can wait to be validated until we ingest your claims data.
Below are additional elements that can further help refine our validation.
Secondary
GLP-1 spend, generic dispensing rate, specialty drug utilization, top 10 drug categories by cost
Top 5 high-cost conditions, percentage of members with (mutliple) chronic conditions
WEX approves, issue resolved
High-cost claims threshold (stop loss), % claims exceeding threshold, high claimant total spend
ER visits resulting in admission, urgent/telehealth/primary/specialty care visit rates
Prior authorization denial rates
