We Help Health Plans Succeed

Improve health equity initiatives, member engagement and coordination of benefits with technology you can trust

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Introducing FinThrive Fusion^™

A First-of-its-Kind RCM Data Intelligence Platform

Cost savings and revenue without compromise

Health plans are positioned to drive industry change, but to do so you need a partner firmly committed to your success—and the well-being of your members. As a market-leading revenue management company, FinThrive is a trusted ally dedicated to helping health plans manage member care more effectively. Advance engagement strategies by reaching members through accurate contact information, improve coordination of benefits and third-party liability management, and create better health outcomes for those you serve.

Case Study

Real Results for Large Southern Medicaid Program

$702M

Total cost avoidance savings of $702M from 2020-2023

4.9%

Identified additional medical and ancillary coverage for 4.9% of Medicaid members

4.5M

There are 4.5 million members covered in the Medicaid plan

Together with Consumer + Healthcare Data, We Can

Advance health equity through data

Identify other health insurance coverage to recover more revenue and cut costs

Improve member loyalty, wellness and engagement

Reach members quickly with the most updated contact information

Increase data quality and first-time throughput rates

Better predict member and population risk

Insight Guide

Advance health equity through data

Learn how you can improve your SDOH strategies.

Download Now

Boost Savings and Manage Costs

Streamlined Coordination of Benefits Cuts Upfront Costs and Recovers Cash

Cost Avoidance Model

Efficiently validate health plan coverage using our comprehensive databases for proactive coordination of benefits reducing administrative cost
Gain insight into health plan terms and enhance third-party liability inventory management

Recovery Model

Maximize cash recovery by identifying primary health coverage for potentially incorrectly paid claims
Enhance coordination of benefits to prevent the payment of incorrect claims

KLAS-Insurance-Discovery-25-24-23

Awarded Best in KLAS Insurance Discovery – Three Years Running

Access 880+ payers, covering 98% of US insured lives

Patented data-matching technology with 300+ query permutations drives coverage identification

More than five billion 270/271 transactions processed annually

Database curated by more than 20 years of intel and expertise

Comprehensive Encounter Data Solutions

Actionable reporting that provides greater insight and transparency
Flexibility to process non-standard files from the submitter and health plan
Easy to use platform for data submission, correction, and reconciliation

We are the Industry Experts

Over 30 Years of expertise in partnering with managed care health plans

Covering more than 70% of California’s capitated health plan members

Nationwide Reach serving multiple health plans across the United States

In 2021, 35,000 member ID cards were returned due to incorrect addresses. By utilizing FinThrive’s Contact Confirmer data, it provided an additional layer of address verification to help eliminate member disruption and administration costs to redistribute member cards.

Christy Donohue

Vice President, Health Plan of West Virginia

You can address a person’s diabetes or heart failure, but if you don’t address their nutrition or their housing it does not make much of an impact.

John Lovelace

President UPMC for You

To get all the information on a patient to a clinician when the patient is in front of a clinician is where the magic happens… this has to be made simple.

Amit Kale

Vice President at Highmark Health