Health Administrator
Overview

An Administrator for Health Plans that People Want

Health plan infrastructure wasn’t built for the complexity of today’s plans. Companies use Flume Health Administrator to design, launch and service fully configured health plans in months.

About

Flume Health Administrator

Flume Health Administrator is a stack of modern tech-driven infrastructure that provides the flexibility and growth to power your success. Our TPA services leverage a multi-tenant architecture that delivers fast and reliable capabilities.

Plan configuration

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

Network / Provider support

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

Solution Integration

A directory of health point solutions; bring your favorites or use our library of partners

Compliance Support

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

Group Implementation

New group setup, onboarding, and managed enrollment upfront and ongoing with easy 834 trading

Claims Admin

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

Financial Admin

Consolidated billing, vendor remittance, funding account integration, claims reconciliation, stop loss support

Reporting

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

Tech Services

API & webhook access, create event- based automation, and have real time access to client and member data

Our Business is Health Plan Administration.
Yours is Everything Else.

Insurers of all sizes are abandoning their traditional TPA and switching to Flume Health Administrator. You'll reduce your costs, increase profits, and comply with the latest regulations. Continuous Innovation with Flume.

Related Resources

By
Cedric Kovacs-Johnson
March 24, 2023
News and PR

Flume Health Launches Flume Relay To Speed Solution Integration

Flume Health is proud to announce the launch of our latest product that is set to revolutionize how payers automate vendor integrations needed to administer and manage a health plan.

By
Cedric Kovacs-Johnson
March 22, 2023
News and PR

Flume Health launches solution to automate vendor integrations for payers, promises to save costs, time

Fierce Healthcare posts about Flume Relay as an automation platform that acts as a universal translation layer for information exchange between payers and vendors.

By
Richard Fu
January 27, 2023
Op Eds

Can Providers Become Payers? It Can Work If Health Systems Keep These Points in Mind

The ‘payvider’ model is best suited for health systems that want to double down on value-based care.‍The long-standing walls that once clearly separated the roles between health providers and payers are crumbling as innovation and current market conditions give way to what many are now calling the "payvider" model.

support

You dreamt it. We built it.

Simple integration and lighting fast execution means simpler builds and less headaches to troubleshoot.

API Documentation
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Design and launch a health plan that people want, today.

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