Platform

Get to know Flume OS 

Learn more
01

Flume Core

Payments, claims, eligibility, contract management, compliance and reporting—all in one managed platform that scales with you.

02

Flume Workflow Engine™

Trigger events + conditional logic dynamically affect adjudication, webhooks, and engagement in a no-code environment.

03

APIs, Webhooks, and EDI

Real-time trading with platform customers, vendors, providers—highly flexible as your plan matures and grows.
View our API Documentation

04

Member & Client Services

White-label our portal and concierge services, or integrate your own in-house member app and support.

See a demo of the workflow engine in action

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Key features built into Flume OS

Provider Contract Management

Tier networks, manage fee schedules, add wraps, and build custom network configurations

Point Solution Integration

An app store of health point solutions; bring your favorites or use our library of partners

Payments

Vendors and clean provider claims are paid in under 14 days

Claim Processing

Responsible auto-adjudication with integrated fraud waste & abuse protection, plus rules-based manual review

Reporting

Stop loss reporting, employer dashboards, and renewal data—all handled by Flume OS

Eligibility Management

Manage enrollment upfront and ongoing with easy 834 trading

Plan Design

Expertise in all aspects of self-funded plan design to support you every step of the way

Fraud Waste & Abuse

Four integrated clinical editing steps by default

Compliance Support

COBRA, Flexible Spending Account, ACA, HIPAA security, ERISA, etc.

Funding Account Integration

Use Flume OS to directly connect your or your self-funded customers' accounts

APIs and Webhooks

Claims, groups, members, member accumulators, support cases, incentives, clinical review

White Labeled Portals

Employer, member and broker portals with your branding

Stop Loss

Flume brings relationships with risk carriers, plus expertise, to dial in your plan design and cost

Networks

You don't need to build your own network to build a plan—Flume brings contracts and partners to the table

Member Support

Phone & email support for claims, eligibility, billing, and more, plus optional CRM integrations

Enablement

Proposals, presentations, sales collateral, member communications, and even training for your team

Fully Managed

Member and client services happen in the background without you needing to be involved

Cohort Launches

Launch multiple plans and experiment over time; measure KPI's and tweak plan design to hit your goals