Solutions

Navigation and Resolution Support

Concierge-level support that guides employees through the healthcare system, from finding the right providers to resolving billing disputes and cutting through administrative complexity.

Most employees do not know how to work through the healthcare system. Most do not have the time to try.

When an employee gets an unexpected bill, cannot find an in-network specialist, or does not know how their plan works, they end up calling HR. Or they give up and pay out of pocket. Both outcomes cost someone money.

Blue Solvere Navigation and Resolution Support puts a dedicated team between your employees and the complexity of the healthcare system. They find providers, explain benefits, follow up on claims, dispute incorrect bills, and coordinate care on behalf of the employees they support.

This service frees up HR time, reduces employee frustration, and often results in direct cost savings through billing corrections and smarter care decisions.

Navigation and Resolution Support

Core capabilities.

01

Provider Search and Scheduling

Help finding in-network physicians, specialists, and facilities, with assistance scheduling appointments on the employee's behalf.

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02

Billing Dispute Resolution

When an employee receives an incorrect or unexpected bill, our team investigates, disputes errors with providers and carriers, and resolves the issue on their behalf.

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03

Benefits Explanation

Clear, plain-language explanations of how benefits work (deductibles, copays, coinsurance, networks, and what is covered) delivered when employees need them most.

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04

Claims Follow-Up

Active monitoring and follow-up on delayed or denied claims, keeping the process moving without requiring action from the employee.

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05

HR Support Reduction

By handling common employee questions and issues directly, navigation support frees HR teams from repetitive benefits inquiries.

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06

Ecosystem Coordination

Navigation support connects with healthcare advocacy for complex cases, and with account management when systemic issues surface.

06

Friction in benefits administration has a dollar cost.

01

Billing dispute resolution frequently recovers money that employees would otherwise pay incorrectly

02

In-network guidance reduces out-of-pocket costs and surprise bills

03

HR teams spend fewer hours fielding benefits questions when navigation support is in place

04

Employee satisfaction with their benefits package improves when people can actually use what they have

05

Coordination with healthcare advocacy escalates complex cases before they become expensive ones

More from the ecosystem.

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Ready to strengthen your benefits program?

Connect with the Blue Solvere team to explore how this solution fits your organization.