maestroEDGE logo

maestroEDGE

by Maestro Health · Since 2019
No reviews yet
SoldAvailable globally
Quick facts
VendorMaestro Health
Year launched2019
StatusSold
LocationMarpai, Inc. 615 Channelside Dr Suite 207 Tampa, Florida 33602
Countries servedGlobal
Languages7
Integrations
Free tier
Free trial
Contact salesYES

About maestroEDGE

MaestroEDGE is a TPA software from Maestro Health that supports self-funded employer health plans through smart technology. It includes Member Log In, Provider Verification, and resources for Brokers & Consultants so employers can manage health benefits effectively. The platform provides access to top quality networks and aims to reduce costs while offering strong savings. Additionally, employers can utilize the call line for immediate assistance to address specific queries. Key capabilities: Member Log In Provider Verification Support for Brokers & Consultants Assistance via Call Access to Quality Networks Best for: employers that need efficient management of self-funded health plans.

Marpai is a technology-driven Third-Party Administrator (TPA) that helps employers manage self-funded health plans, offering cost-effective healthcare solutions with an emphasis on preventive care. The platform connects employers with top-tier provider networks and employs smart claims processing to drive down costs. Through Marpai, employers can optimize their health plan offerings while providing employees with access to better care. The platform’s tools support a healthier and happier workforce, enabling employers to manage their healthcare spending more efficiently while ensuring the well-being of their employees. The user interface of Marpai is designed to be intuitive and easy to navigate, providing a seamless experience for both employers and employees. The myMarpai app, available on iOS and Android, allows employees to access their health benefits, track claims, find providers, and use telehealth services at their convenience. The platform’s compatibility with both desktop and mobile devices ensures accessibility from anywhere, and its integrations with other systems, including pharmacy benefits management and claims processing tools, further streamline operations. Marpai’s user-friendly design ensures that employees and employers can easily navigate their healthcare administration.

Pros & Cons

What users like
  • +Comprehensive cost-saving strategies for employers.
  • +Proactive, member-centered services that improve healthcare outcomes.
  • +Smart claims processing that identifies savings opportunities.
  • +Strong pharmacy savings program and PBM solution.
  • +Access to top healthcare providers and value-based care networks.
What users flag
  • Pricing is available only upon request, which might be inconvenient for some users.
  • The platform may require integration with third-party systems for full functionality.

Features

Key features

Smart Claims Processing
Marpai’s claims processing system uses automation and clinical reviews to identify potential savings and ensure accurate claims handling. High-cost claims are assessed for pricing discrepancies or exclusions based on network contracts.
Cost Containment
Marpai utilizes proven strategies like competitive network discounts, out-of-network repricing, and reference-based pricing to reduce healthcare costs for employers while maintaining quality care for employees.
Pharmacy Savings Program
The pharmacy savings program allows employers to achieve up to 75% savings on high-cost medications, with Marpai’s in-house Pharmacy Benefit Management (PBM) solution delivering up to 25% savings on total pharmacy spend.
Value-Based Care
The Marpai Connect system links members to proactive, outcome-driven healthcare, ensuring high-quality care at reduced costs by focusing on value-based care contracts.
Proactive Member Services
Marpai offers proactive services like gaps in care outreach, high-quality provider guidance, and personalized health management via the myMarpai portal and app, enhancing member engagement and improving health outcomes.

Additional features

Plan Administration
Manages health, COBRA, dental, and vision benefits.
Pharmacy Benefits Management
Provides a cost-effective solution for managing pharmacy benefits, reducing costs for both employers and employees.
Compliance
Ensures adherence to healthcare regulations and industry standards.
Claims Processing
Uses SMART automation for efficient, worry-free claims management.
Telehealth
Offers remote healthcare services, enhancing convenience and access.
Utilization Management
Monitors care to ensure appropriate and cost-effective healthcare services.
Chronic and Acute Care Management
Supports employees with chronic conditions and acute care needs through in-house clinical teams.
Member Engagement Tools
Includes the myMarpai portal and app for easy access to health benefits, claims, providers, and more.
Gaps in Care Outreach
Identifies and addresses care gaps to prevent unnecessary and expensive treatments.
Stop Loss Discounts
Reduces risk and enhances cost containment with stop-loss insurance options.

Pricing

Free trial
Free version
Request a quote
Promo Offer

Countries & Languages

Global
Countries served
7
Interface languages
11
Billing currencies

Interface languages

EnglishFrenchSpanishGermanItalianPortugueseDutch

Billing currencies

🇺🇸USD🇪🇺EUR🇬🇧GBP🇯🇵JPY🇦🇺AUD🇨🇦CAD🇨🇭CHF🇨🇳CNY🇸🇪SEK🇳🇿NZD🇮🇳INR

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