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Strengthen carrier relationships and accelerate recoveries
Stop-loss carriers prefer Amera's high-quality data and reward it with better terms
45%
Automated submissions reduce processing delays
60%
Complete, accurate data reduces carrier pushback
25%
Improved loss ratios from better reporting
Smart Claim Identification
Our AI automatically identifies stop-loss eligible claims based on dollar thresholds, diagnosis codes, and carrier-specific requirements — no manual review needed.
Threshold Monitoring
Continuous monitoring of claim amounts against specific and aggregate stop-loss thresholds
Diagnosis Code Analysis
Automatic flagging of high-risk conditions and chronic disease markers
Carrier-Specific Rules
Customized identification based on individual carrier requirements, contacts, and exclusions
From claim processing to recovery - completely automated
Claim Processing
Standard claim adjudication continues
Automatic Flagging
AI identifies stop-loss eligibility
Data Package Creation
Complete submission packages generated
Carrier Submission
Automatic forwarding to stop-loss carriers
Recovery Tracking
Monitor reimbursement status
Complete stop-loss intelligence
Real-time monitoring and automated reporting for every eligible claim.
Live Dashboard
Monitor claim progression and stop-loss status in real-time
Threshold Alerts
Automatic notifications when claims approach stop-loss thresholds
Trend Analysis
Predictive analytics for stop-loss exposure and utilization patterns
