Flagship, live
CLAIMARO

The operating system for community-funded health.

Enrollment, claims, payments and member care in one system, with zero per-claim fees and unlimited users. Built for self-funded groups, health sharing ministries and the TPAs who serve them. We configure your plans, fee schedules and branding, and you go live in 30 days.

Claims
837 in, 835 out
Pricing
Zero per-claim fees
Go-live
30 days, configured by us
Compliance
HIPAA, with a BAA
Where Claimaro sits

Claimaro is the whole system. Not another layer on top of one.

Prospects, members, providers and partners each get their own way in. Claims arrive from members, providers, your clearinghouse or your own team, and everything from the first lead to the last report runs in Claimaro. There is nothing to stitch together.

CLAIMS INCLAIMS INCLAIMS INCLAIMS IN ProspectsMembersProvidersClearinghouseBrokers & partners Funnels & enrollmentMember portalProvider portalEDI over SFTPPartner portalYour team, in the admin console GrowEnrollAdjudicatePayReport landing pages, forms, online enrollment CRM pipelines, two-way SMS and email, campaigns, automations submit a claim or a bill, ID card, EOBs, appeals plans and tiers, dependents, member import, ID cards submit claims or an 837 batch, eligibility, prior auth, remits plan rules, fee schedules, accumulators, pends and appeals 837 claims in, 835 remits out, eligibility and prior auth funding runs, payment files, 1099s, partner commissions referrals, leads, earnings dashboards, scheduled reports, audit trail, QuickBooks sync key in paper claims, import a CSV, work the review queue, run payments and finance CLAIMARO One platform and one system of record, with HIPAA-grade security and an isolated database for every tenant.Connects to QuickBooks, Stripe, NMI, Authorize.Net, Twilio and Zapier.
Outside Claimaro Ways in One engine underneath Claims inWhere claims enter
  1. Outside ClaimaroProspects, members, providers, your clearinghouse, and brokers and partners. Everything else is inside.
  2. Prospects: Funnels & enrollmentLanding pages, forms and online enrollment. Feeds Grow: CRM pipelines, two-way SMS and email, campaigns, automations.
  3. Claims inMembers: Member portalSubmit a claim or a bill, ID card, EOBs, appeals. Feeds Enroll: plans and tiers, dependents, member import, ID cards.
  4. Claims inProviders: Provider portalSubmit claims or an 837 batch, eligibility, prior auth, remits. Feeds Adjudicate: plan rules, fee schedules, accumulators, pends and appeals.
  5. Claims inClearinghouse: EDI over SFTP837 claims in, 835 remits out, eligibility and prior auth. Feeds Pay: funding runs, payment files, 1099s, partner commissions.
  6. Brokers & partners: Partner portalReferrals, leads, earnings. Feeds Report: dashboards, scheduled reports, audit trail, QuickBooks sync.
  7. Claims inYour team, in the admin consoleKey in paper claims, import a CSV, work the review queue, run payments and finance.
  8. One platformOne system of record, with HIPAA-grade security and an isolated database for every tenant. Connects to QuickBooks, Stripe, NMI, Authorize.Net, Twilio and Zapier.
Wherever you're starting

Starting fresh or switching over. One platform either way.

Launching a new plan

Every stage of running a plan is built in and live on day one: enrollment, claims, payments and portals. We configure your plans, branding and fee schedules, you review, and you go live in 30 days.

Moving off a legacy system

Claims history, member and group records, plan setups and accumulator balances move over together, so deductibles and out-of-pocket totals carry over instead of resetting mid-year.

Who it's for

Built for the people who run health plans.

Get started

See Claimaro on your plans.

Walkthroughs, published pricing and the full platform tour are on claimaro.com.