Complete Admin Health Plan Solutions

Health plan administration solutions designed to maximize savings, reduce administrative expense and provide access to quality healthcare.


PayerFusion provides a full range of health plan administration, cost containment and medical claims management services to self-funded employers, international insurers and assistance companies. We employ a proprietary cost-plus pricing methodology and access to our privately owned provider network to secure the greatest savings possible for our client partners. Our unique approach includes a strong emphasis on provider relations and improving patient satisfaction with the process of accessing quality care.

  • Better Provider Options – The PayFuseNet network is without walls. No quality provider is excluded, and top performing providers are ranked (by quality and cost) to help you make informed choices.
  • Savings – Our innovative medical claims processing, health plan administration and cost-plus pricing methodology results in superior cost containment, helping you to control the average cost of your medical claims now and over time.
  • Compliance and Peace of Mind – We provide you with expertise and thought leadership so you can stay current with constantly changing state and federal health plan administration laws and regulations as the U.S. healthcare system continues to evolve.
  • Unparalleled Customer Service – PayerFusion has a culture of excellence. Adhering to ISO and Six Sigma Standards, we aim for 100% patient, payer and provider satisfaction.