Network Monitoring

Cover fiduciary risk and health plan compliance

Benefits consultants and plan sponsors gain real-time visibility into payer and provider oversight

Real-time

Plan performance dashboards

< 24 hrs

Anomaly detection time

100%

Continuous compliance coverage

How it works

Build a compliant health plan

Connect your live plan data

Handl ingests claims, eligibility and network data continuously via APIs.

Set up continuous monitoring

Run monthly diagnostics and compliance reports.

Track, report and act

Identify plan performance issues and review claims for payment accuracy.

Platform capabilities

Continuous plan monitoring

Monthly repricing

Continuous claims repricing with an API connection and established plan evaluation criteria will identify errors and trends.

  • Live ingestion of claims and plan documents
  • Anomalies are flagged for follow up
  • Plan sponsor and consultant dashboard views
  • Start with a baseline from your network evaluation
Claims repriced — monthly repricing with overpayments flagged and contract compliance

Keep the savings from eroding

Watch provider cost and plan performance year-round so the savings the plan created don't quietly erode, and every renewal starts with a full-year summary.

  • Provider-cost and utilization tracking
  • Full-year performance summary for renewals
  • Scenario modeling for next-year adjustments
  • Works in tandem with Member Navigation
Plan performance — recoverable spend, out-of-network spend, and steerage metrics

Defend each decision

Oversight has to be documented and every claim evaluated against four layers, with a quarterly defensible paper trail.

  • Every claim evaluated against the four layers
  • Quarterly fiduciary-defense documentation
  • CAA-ready compliance reporting
National access overview — covered members and gaps by network
Testimonials

I can walk into a client meeting with confidence. Handl makes it easy to prove value and win trust with data that speaks for itself.

Head of Data Analytics

National Brokerage, Atlanta, GA

Start today

See Network Monitoring in action

Book a personalized demo and see how Handl Health delivers results from day one.