reclaimhealth.com

{
  "@context": "https://schema.org",
  "@type": "FAQPage",
  "mainEntity": [
    {
      "@type": "Question",
      "name": "What is Reclaim Health?",
      "acceptedAnswer": {
        "@type": "Answer",
        "text": "<strong>Reclaim is a healthcare financial advocacy platform that helps employers and employees optimize the value of their healthcare benefits.</strong>\n\nWe use a combination of artificial intelligence, claims data, and human experts to proactively find savings and recover money for our members. Our platform works year-round to:\n\n• Review 100% of healthcare bills for errors and overcharges.\n• File claims and appeals on behalf of members to recover owed financial payouts.\n• Provide personalized benefits recommendations based on an individual's health journey.\n• Offer powerful analytics to help employers optimize their benefits plan design."
      }
    },
    {
      "@type": "Question",
      "name": "What size company is Reclaim Health for?",
      "acceptedAnswer": {
        "@type": "Answer",
        "text": "<strong>Reclaim primarily works with larger self-insured employer groups, typically those with more than 5,000 employees.</strong>\n\nWe also support smaller self-insured employer groups with at least 1,000 employees. The key requirement is that we have access to detailed claims data through the company's claims administrators, as this allows our platform to identify the most significant savings opportunities."
      }
    },
    {
      "@type": "Question",
      "name": "How do you get and protect our employees' health data?",
      "acceptedAnswer": {
        "@type": "Answer",
        "text": "<strong>Reclaim obtains member health data directly from carriers and TPAs through secure data feeds, and we protect it with industry-leading security protocols.</strong>\n\n• **Data Access:** We have existing data sharing agreements with all national carriers and a growing number of regional ones, making data acquisition straightforward.\n• **Security:** Our platform is SOC2 Type II certified and fully HIPAA compliant. We enforce encryption at rest and in-transit, multi-factor authentication, least-privilege access, and regular vulnerability scanning to ensure all data is secure."
      }
    },
    {
      "@type": "Question",
      "name": "Do employees have to authorize Reclaim?",
      "acceptedAnswer": {
        "@type": "Answer",
        "text": "<strong>Yes, employee authorization is required to activate Reclaim.</strong>\n\nWe offer two models for enrollment:\n\n• **Elective Model:** Employees provide express authorization, typically during their open enrollment process. In this model, we see an average opt-in rate of nearly 79%.\n• **Automatic Model:** Reclaim is embedded in the group health plan, activating the service for all members who enroll in the plan."
      }
    },
    {
      "@type": "Question",
      "name": "What types of benefits does Reclaim's platform include?",
      "acceptedAnswer": {
        "@type": "Answer",
        "text": "<strong>Reclaim's platform includes medical, Rx, dental, vision, pre-tax accounts (FSA, HSA), and voluntary benefits in its recommendations.</strong>\n\nOur platform analyzes an employee's total benefits package to provide holistic guidance. This includes:\n\n• **Core Benefits:** Medical, pharmacy, dental, and vision plans.\n• **Financial Accounts:** Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs).\n• **Voluntary Benefits:** Critical Illness, Hospital Indemnity, and Accident Insurance.\n• **Ancillary Programs:** We also recommend employer-sponsored programs like condition management and wellness solutions when relevant to a member's needs."
      }
    },
    {
      "@type": "Question",
      "name": "How long is the implementation process for Reclaim Health?",
      "acceptedAnswer": {
        "@type": "Answer",
        "text": "<strong>The typical implementation for Reclaim Health takes 8-12 weeks.</strong>\n\nThe timeline is primarily driven by the claims file release process with medical and pharmacy plan carriers. We expedite this by accepting data in the carrier's standard format. Reclaim can be implemented at any time of the year to fit your schedule."
      }
    },
    {
      "@type": "Question",
      "name": "What data does Reclaim need to work?",
      "acceptedAnswer": {
        "@type": "Answer",
        "text": "<strong>Reclaim requires three core data sets to operate effectively: Summary of Benefits and Coverages (SBCs), eligibility and enrollment data, and claims data.</strong>\n\nWhile there is no minimum claims history required, more data allows our AI to identify more financial recovery opportunities and enhance the accuracy of our recommendations. Optional integrations with other benefits platforms can also be implemented based on employer preferences."
      }
    },
    {
      "@type": "Question",
      "name": "What kind of reporting and analytics tools are included?",
      "acceptedAnswer": {
        "@type": "Answer",
        "text": "<strong>Reclaim provides a robust suite of analytics and reporting tools to help you optimize your benefits plan design and overall spend.</strong>\n\nThese tools include:\n\n• **Claims-Driven Insights:** Identify the biggest opportunities for cost savings.\n• **Health Forecasting:** Anticipate the future health needs of your employee population.\n• **Coverage Simulations:** Evaluate how potential plan design changes could impact costs and savings."
      }
    },
    {
      "@type": "Question",
      "name": "Do you offer white label options for partners?",
      "acceptedAnswer": {
        "@type": "Answer",
        "text": "<strong>Yes, we offer both white label and embedded options for solution providers.</strong>\n\nThis is ideal for benefit administration platforms, voluntary benefits insurers, and other partners. We also offer configurable subsets of our capabilities based on a partner's specific needs. You can contact our partnership team to discuss the available options."
      }
    },
    {
      "@type": "Question",
      "name": "What is the difference between Reclaim and traditional advocacy?",
      "acceptedAnswer": {
        "@type": "Answer",
        "text": "<strong>The key difference is that Reclaim is proactive, while traditional advocacy solutions are reactive.</strong>\n\n• **Traditional Advocacy:** Relies on an employee to identify a problem and call a service line. These services are often human-driven and focus only on large, complex claims.\n• **Reclaim's Approach:** Our AI-powered technology proactively reviews 100% of claims for every member, identifying savings opportunities automatically. We take action on the member's behalf, requiring no work from them."
      }
    },
    {
      "@type": "Question",
      "name": "How is Reclaim different from payment integrity solutions?",
      "acceptedAnswer": {
        "@type": "Answer",
        "text": "<strong>Reclaim takes a more holistic, member-first approach than traditional payment integrity solutions.</strong>\n\nPayment integrity solutions focus only on identifying overcharges for the employer. Reclaim goes much further:\n\n• **Member-First Focus:** We identify savings for both the member and the employer.\n• **Complete Recovery:** We don't just identify overcharges; we manage the entire process to correct errors and recover the owed dollars.\n• **Total Benefits Optimization:** Our platform looks beyond simple overcharges to optimize the financial value of all benefits, including voluntary plans and pre-tax accounts."
      }
    },
    {
      "@type": "Question",
      "name": "How does Reclaim's decision support compare to traditional tools?",
      "acceptedAnswer": {
        "@type": "Answer",
        "text": "<strong>Reclaim's decision support is personalized and claims-driven, while traditional tools are often generic.</strong>\n\nUnlike traditional tools that offer one-size-fits-all advice, Reclaim uses an individual's actual claims data to tailor recommendations for their specific health journey. This leads to more cost-effective choices and higher benefit utilization. We provide proactive, year-round advocacy that goes far beyond simple plan comparison tools."
      }
    },
    {
      "@type": "Question",
      "name": "What kind of AI does Reclaim Health use?",
      "acceptedAnswer": {
        "@type": "Answer",
        "text": "<strong>Reclaim uses proprietary machine learning and optimization algorithms, not generative AI like ChatGPT.</strong>\n\nOur AI is built in-house and does not create new content. Instead, its purpose is to learn and identify patterns in structured claims data. This allows our algorithms to make highly accurate predictions and recommendations for cost savings based on the real-world experiences of people with similar healthcare journeys."
      }
    }
  ]
}