- ONE COORDINATED PLATFORM
Not standalone services.
A coordinated system.
InterceptCare® brings nurse advocacy, direct provider access, and advanced care transitions into one integrated platform — working simultaneously, in real time, every day.
The Platform
Three systems. One experience.
Most solutions offer pieces of this. InterceptCare® executes all three simultaneously.
Advocacy
Dedicated Nurse Advocates
Our advocates build trusted relationships with employees, helping them navigate the complexity of healthcare and understand their options — while proactively identifying opportunities to intercept costs before they become claims.
- Prior authorization intercept calls
- 1-on-1 employee meetings onsite
- Ongoing case management
- Bill review and dispute
- 24/7 availability
Direct Contracts
High-Value Providers
We establish direct contracts with high-quality, lower-cost providers to give employees access to better-value care — without marking up the claims — while helping remove the friction of getting employees to the right care.
- 300+ direct contracts in Wisconsin
- National direct contract database
- Bundled surgery pricing
- Tier 1 provider quality scores
- $0 employee cost on Tier 1 care
ACT — ADVANCED CARE & TRANSITIONS
Benefits & Enrollment
Provides advanced support for employees facing complex healthcare needs while identifying alternative coverage, assistance programs and care pathways — including local, state and federal options — and helping employees navigate the path forward.
- Open enrollment optimization
- ACA and Medicare transition support
- Specialty drug sourcing (6 methods)
- Manufacturer assistance programs
- Government program eligibility
YOUR FOUR EMPLOYER INTERCEPT POINTS
InterceptCare® intervenes before costs escalate.
InterceptCare® controls costs across four high-impact areas simultaneously — intervening before decisions become claims.
Meet
Before employees use the plan blind - "Our nurses meet 1-on-1 with every employee — onsite — before the expensive moments happen. We walk through their plan, their doctors, their prescriptions. Most plans skip this entirely. We don't."
Quote
Before you sign anything - Before you renew or re-quote, InterceptCare® maps your actual claims history and identifies where costs are leaking. We build a roadmap showing exactly what we'd intercept — so you see the ROI before you commit.
Fund
Before the plan writes the check - When a high-cost claim is triggered — a surgery, specialty drug, or procedure — our nurses advocates intercept it in real time. We find lower-cost, equal-quality options before the plan funds the claim. This is where the biggest dollars are saved.
Renew
Before you repeat last year's mistakes - Before your next renewal, we deliver a full intercept report — every dollar saved, every claim prevented. You go into renewal with data, not surprises. And a clear plan to intercept even more next year.
THE INTERCEPT IN ACTION
What happens when a high-cost claim enters your plan.
Employee sees their doctor
Employee visits their primary care physician. Doctor determines they need an MRI, surgery, or specialty medication. A prior authorization is sent to the health plan.
Prior authorization enters the plan
The moment the prior authorization is received by the health plan, InterceptCare® sees it in real time. The claim is flagged for nurse advocate review before any appointment is scheduled.
Assigned nurse advocate calls the employee immediately
An InterceptCare® nurse advocate contacts the employee before they schedule the appointment. They explain lower-cost options, identify Tier 1 direct-contract providers nearby, and help the employee understand their choices.
Employee gets care. Plan saves thousands.
Employee goes to a Tier 1 provider — same quality, same outcome — at 40–70% below the original facility price. Employee pays $0. Plan saves thousands on a single claim. The intercept is documented.
REAL-TIME CLAIM INTERCEPTION - ONE MRI
- WITHOUT INTERCEPTCARE®
$3,950
High-cost Facility MRI — employee pays $988. Plan pays $2,962.
- WITH INTERCEPTCARE®
$595
Tier 1 direct contract — employee pays $0. Plan saves $3,355 on one claim.