You're advising clients on costs you can't see.
Your clients expect you to control their healthcare spend, but without independent pricing data, you're advising on costs you can't actually see. Brokers and carriers who bring real transparency to the table win and keep more business.
- Claim repricing
- Client-ready reports
- White-label ready
Advising on costs you can't see
Clients hold you accountable for their healthcare spend, but the prices driving that spend sit inside network contracts and out-of-network bills you have no independent way to verify.
No way to verify "fair"
When an out-of-network or stop-loss claim lands, you have nothing objective to check it against. Negotiating without market data is negotiating from weakness.
Commoditized offering
When every broker pitches the same carriers and plans, it's hard to stand out. Without a differentiated cost-containment story, you compete on price alone.
Slow, manual research
Repricing a single complex claim by hand takes hours of lookups. At scale, manual analysis simply can't keep up with your clients' claim volume.
Clients feel the surprises
When members get hit with inflated out-of-network bills, the frustration lands on you. Reactive service erodes the trust that retains accounts.
Add real transparency to your brokerage
SumHealth gives brokers and carriers the repricing tools and rate data to turn cost containment into a differentiated, high-value service.
Reprice claims in seconds, not hours
Determine the true cost of out-of-network, denied, and stop-loss claims with instant, line-by-line analysis backed by real market data.
- Reprice out-of-network and stop-loss claims
- Surface overcharges before they hit clients
- Support negotiation with objective evidence
- Add a high-value service to your offering
Bring market benchmarks to every review
Show clients exactly how their plan's rates compare to the market, and where there's room to negotiate or steer volume.
- Benchmark client rates against the market
- Identify cost outliers by region and payer
- Produce client-ready benchmark reports
Show clients where their rates stand
Map client network rates against the market across every geography they operate in, and pinpoint where there is room to renegotiate or steer volume.
- Compare client rates by market vs. benchmark
- Spot geographies with the biggest savings
- Back recommendations with geographic evidence