Who we answer to
Highlight Health works for self-funded health plans and the people who fund them. We accept no fees from the parties we review. Here’s how that works.
Independence is a question of who pays
Who pays us
Self-funded health plans- Employers that sponsor health plans
- Stop-loss carriers that insure them
- The people responsible for paying healthcare bills
We work for the people who pay the bills.
Who doesn’t pay us
Hospitals whose bills we review- Provider networks
- PBMs whose rates we check
- Any party whose costs or rates we examine
Our independence is built into who pays us.
What we are
Highlight Health reviews high-dollar healthcare claims for the people who have to pay them. The work draws on claims specialists, certified coders, clinicians, actuaries, and attorneys, and every price is tested against the contracts, the published rates, and the rules that govern what a plan should pay.
Founded
2020
Based in
Philadelphia
Team
Dozens & growing
Our mission
Empower those who pay healthcare bills to pay the right price.
Every price we put on paper meets four tests
We stand behind every number we put on paper. When it’s questioned, we answer for it.
Our people answer to their professions, too
Corporate member
Corporate member
Individual members
We’re growing
The Record is our work. The people are the point.
We’re hiring people who care about getting it right, who’d rather double-check than guess, and who don’t mind showing you exactly how they got there.
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Working for the people who pay the healthcare bills
See what that looks like in your world.