Employer Solutions

Optimize plans, steer employees to affordable care, and minimize claim costs

Employer Solution

Cost Savings

Serif Health powers every tool in your arsenal to mitigate rising healthcare spend. Use the payer price transparency data to uncover the most cost-effective providers in your network and route utilization to them through active member steerage.

Build your own networks via direct contracting and see what other insurance carriers reimburse to negotiate fair contracts. We are your analytics partner to realize the most value from your chosen plans.

See Reporting & Analytics

Employer Solution

Transparency in Coverage Compliance

Use Serif Health's suite of APIs to power cost estimation within employee search portals as part of the Transparency in Coverage (TiC) compliance requirements that specify plans and TPAs must be able to display out-of-pocket cost estimates for members for any given medical procedure.

For those looking for fast turnaround or new solutions partners, we have implemented successful upgrades to existing cost estimator engines and effectively integrated into customer portals in a matter of weeks.

View our APIs

Employer Solution

CAA Fiduciary Responsibilities

Custom reporting to fulfill your new fiduciary duties as plan sponsors. Ensure you select the most cost-effective and least disruptive plans for your members by re-pricing claims using your specific utilization patterns.

With comprehensive MRF data, Serif Health can reprice claims down to a specific provider, code, and site of service so you can understand for each plan how much existing utilization would fall out-of-network ,what your in-network costs would be, and network adequacy.

Once you have chosen a plan, Serif Health can ensure you price out-of-network claims appropriately using QPA and flag any over-spending by comparing reimbursements to contracted amounts.

See Reporting & Analytics

See what our customers are saying

Serif’s tools have unlocked key pieces of information that have supported how we structure our contracts. They’ve been a helpful partner in understanding price transparency data, and their team has consistently gone above and beyond to quickly source data to assist with our needs.

Chief of Staff

Specialty Care Group

Serif's reimbursement data has been instrumental in informing which clinical groups are viable for us to work with. After zeroing in on those groups, it has allowed us to shortcut the arduous back and forth of gathering reimbursement pricing data from them, something that is particularly difficult when helping a clinical group expand their service offerings. Being able to show up at an early stage meeting with reimbursement information in hand and in a deck has been a game changer and wins us significant credibility right off the bat.

VP of Commercial Growth

Radiology Services

Using the data from Serif has been incredibly helpful for our payor negotiations. There is no longer a mystery about where you stand in the market.

Bret Hicks, Director-Finance

Tucson Medical Center

Signal makes complex MRF data easy to use. Other tools we looked at returned significantly more 'junk' data and clutter that made us do extra work. As a multispecialty provider with several surgery centers, Serif equalizes the knowledge disparity between payers and providers.

Chief Network Officer

Multispecialty Provider with several ASCs

Powering healthcare price transparency for over 100 companies – from startups to enterprises.