Dependent Verification Reviews
Amwins combines three key components: an online affidavit, a verification document review, and a data capture system. Our process delivers more informed rulings and the most truthful responses, delivering the highest information accuracy.
Organ Transplant Carve Out
Cover organ transplants such as heart or lung transplants, which can cost up to $1 million or more outside of the self-funded plan, by purchasing a fully insured organ transplant carve-out policy.
Care Management
Amwins offers a full range of care management solutions that help your clients manage costs as well as promote member wellness and ensure appropriate utilization of benefits.
Medical & Rx Claim Audits
Defend yourself against the costly inaccuracies in claims processing. Amwins Benefit Watch® reviews the entire claim process – from patient to provider to insurance carrier.
Dialysis Management Solution
Amwins utilizes regional pricing data and a proprietary re-pricing methodology to reduce outpatient dialysis claims, lower direct costs allowing for more favorable stop loss renewal terms.
Rx Benefit Management
Amwins Rx is a pharmacy benefit manager (PBM) that administers prescription drug programs on behalf of self-insured employer plans, labor unions and Medicare Part D plans.