SPENDWELL IS MODERNIZING HEALTH CARE WITH E-COMMERCE.

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1 SPENDWELL IS MODERNIZING HEALTH CARE WITH E-COMMERCE. Meet the benefits-integrated marketplace that s reducing costs and eliminating the fragmentation and complexity of the traditional health care system.

2 At SpendWell Health your members and network providers can connect directly in our benefits-integrated, e-commerce marketplace. Our solution delivers an intuitive, online retail experience members see buy-now prices for routine health services and pay for their share of care before they walk through a provider s door. Automatic benefits coordination and upfront pricing means no more confusion or surprise bills for your members. No more eligibility verification, claims submissions or collection risks for providers. Plus, lower administrative and medical costs for you. Deliver a better experience for your members and providers. SpendWell s modular and highly configurable platform is seamless and plugs into your existing technology. Whether you already have some components in place or you re starting from scratch, SpendWell can be the e-commerce engine that helps you modernize for the new health care economy. Empowering e-commerce solution Reduce administrative costs and overhead: eliminates provider eligibility verification calls, decreases members customer service calls, reduces print and mail expenses for EOBs, EOPs and check payments. Extend consumer health care spend and value: doesn t increase utilization, but fosters smart shopping and helps pre-deductible dollars stretch further. Flexible, interoperable platform Leapfrog traditional inefficiencies and stakeholder pain points: breaks down barriers between stand-alone solutions to connect disparate data sources and processes that can be a root cause of confusion and dissatisfaction. Implement state-of-the-art plan design and real-time purchasing technology: integrates with any existing transparency tools, telehealth, your provider network and health benefits system, plus HSA, HRA and FSA accounts. Simplified payment experience Accelerate electronic adoption: enables real-time comparative shopping and buy-now purchasing behaviors with bundled services and electronic payments that count toward a member s deductible. Stand apart from competitors: builds trust and loyalty through an e-commerce solution that turns frustrated members into informed, price-sensitive and value-focused care seekers. PwC Health Research Institute explores solutions for a health care billing and payment system that is an artifact of an earlier age in its May 2015 report, Money matters: Billing and payment for a New Health Economy. Percentage of payments sent electronically, % Commercial health insurers 43 % U.S. business average Source: 45 CFR Part 162 Administrative Simplification: Adoption of Operating Rules for Health Care Electronic Funds Transfers (EFT) and Remittance Advice Transactions; Final Rule, August 10, 2012.

3 Everyone wins with SpendWell. SpendWell takes the complexity out of health care, eliminating surprises, frustration and confusion for everyone. Consumers Compare, lock in price and buy routine care no confusing EOBs or surprise bills Providers Get patient payment in days, not months no need to submit claims or verify eligibility Employers Reduce cost-sharing exposure increase benefits satisfaction and drive adoption of high-deductible plans Health plans Improve efficiencies and operating margins deliver a transformative, consumer-friendly retail experience Now, buying a health care service is as easy as buying a plane ticket. Or a book. In today s world, companies like Expedia and Amazon make it simple for people to research, compare and purchase goods and services online. At SpendWell, we re empowering people to do the same when it comes to their routine health care needs. Network provider services and prices are listed on SpendWell Members shop, compare and choose needed care at a buy-now price Members pay patient responsibility with an HSA, FSA, debit or credit card Pre-authorized member payment is securely held until care is received Member and provider connect and care is delivered Provider confirms care delivery, standard electronic claim data is sent to health plan Member payment is unlocked and sent to provider Health plan processes claim, sends any payer amount due to provider via SpendWell

4 How SpendWell works. See how SpendWell plugs into your existing technology to deliver a simplified member-provider payment experience. Benefit plan info Consumer Shop, compare and buy See provider, notice of fulfillment, provider review ehealthreceipt TM (EOB) SpendWell platform Eligibility inquiry, claim, ERA (270/271, 837, 835) Clearinghouse Eligibility inquiry (270/271) Electronic claim (837) 835 Order notification Check out, invoice complete (portal) ehealthreceipt (EOP) Consumer payment Provider payment Provider payment Plan admin Provider Payment processor Funds transfer Balance info (HSA) Financial institution At SpendWell, members can buy everything from acupuncture to X-rays. Members can buy hundreds of routine health care services offered at buy-now prices. These include health care must-haves plus other important wellness and quality-of-life services that are often paid for out of pocket, such as: Acupuncture Allergy Behavioral Health Chiropractic Colonoscopy (coming soon) Dentistry Dermatology (coming soon) Hearing Imaging Immunizations and Vaccinations Massage Therapy Occupational Therapy Physical Therapy Primary Care Speech and Hearing Therapy Telehealth Vision X-ray

5 About SpendWell SpendWell is bringing e-commerce to health care. Our benefits-integrated marketplace eliminates confusion, complexity and frustration by empowering insured shoppers across the country to purchase routine health care services from their network providers at buy-now prices. We re a wholly owned subsidiary of Cambia Health Solutions, a growing family of companies that are building next-generation solutions and changing the way people experience health care. Achieve the interoperability, automation and electronic adoption you ve always wanted for your providers and members. SpendWell s open and flexible e-commerce platform finally makes it possible. Ready to get started or learn more? Register for a demo at SpendWellHealth.com Or contact: sales@spendwellhealth.com Gartner Group names SpendWell Cool Vendor of Healthcare Payers, sw/ SpendWell Health Gartner does not endorse any vendor, product or service depicted in its research publications, and does not advise technology users to select only those vendors with the highest ratings or other designation. Gartner research publications consist of the opinions of Gartner s research organization and should not be construed as statements of fact. Gartner disclaims all warranties, expressed or implied, with respect to this research, including any warranties of merchantability or fitness for a particular purpose.