Enterprise-grade reimbursement engine for employers and providers. Transparent cash-pay healthcare with full ERISA & ACA compliance. No networks, no surprise billing, no complexity.
Healthcare Finance Engine
Eligibility, plan policy, compliance validation, and financial orchestration — all in one auditable system.
A streamlined reimbursement process built for employers and providers
Employers partner with FairCare Plus and add eligible members directly to the platform.
Members choose any provider and pay transparent cash prices upfront.
Members upload receipts through the mobile app with automatic data extraction.
AI-powered compliance engine validates receipts against plan rules and regulatory requirements.
Approved reimbursements processed in days, not weeks. Full audit trail maintained.
Control costs, ensure compliance, and deliver transparent benefits to your workforce
Set employer contribution limits, member caps, and category-level budgets with real-time tracking.
ERISA and ACA aligned by design. Automatic form generation and audit trail maintenance.
Real-time dashboards showing utilization, spend, and member engagement metrics.
Add members, adjust plans, and manage benefits in minutes, not hours.
Serve cash-pay patients backed by employer benefits — no claims, no denials, no delays
Patients pay at time of service. No accounts receivable, no collections, no insurance risk.
No claim forms, no prior authorizations, no coding battles, no reprocessing.
Patients appear as cash-pay. No new software, no integrations, no training required.
Standard itemized receipts are all that's needed. No special forms or billing codes.
Built with security, compliance, and auditability from day one
Independently audited security controls and processes
PHI handling with encryption at rest and in transit
Structured as compliant health reimbursement arrangement
Every action logged and immutable for compliance review
AES-256 encryption, TLS 1.3, zero-trust architecture
Form 1095-C, 5500, and SPD generation built in
Employers enroll and add eligible members directly. Members do not sign up individually. This is an employer-sponsored benefit administered at the organization level.
No. FairCare Plus is a healthcare reimbursement platform structured as an ERISA-compliant health reimbursement arrangement (HRA). It provides transparent cash-pay benefits without traditional insurance networks or claim processing.
FairCare Plus is designed to align with ERISA and ACA requirements. We provide automatic form generation (1095-C, 5500), SPD templates, and full audit trails to support regulatory compliance.
Yes. Many employers use FairCare Plus alongside traditional insurance or as a supplement to high-deductible health plans (HDHPs) to provide additional benefits and cost savings.
Providers see FairCare Plus members as cash-pay patients. There are no claims to file, no network contracts, and no prior authorizations. Members pay at time of service and receive reimbursement from their employer through our platform.
Most reimbursements are processed within 3-5 business days after receipt submission. Our AI-powered review engine automates compliance validation for faster turnaround.
Talk to our team about how FairCare Plus can reduce costs, improve transparency, and simplify benefits administration for your organization.