About Us

Driven By

  • Innovation.
  • Data Analytics.
  • Clinical Excellence.

We manage the cost and utilization of pharmacy and ancillary medical benefits for workers’ compensation insurance payers and ensure that injured worker patients receive the most appropriate care and treatment.
Our industry-leading solutions include:

  • pbm

    Pharmacy Benefit Management

  • pbm

    Clinical Review Services

  • pbm

    Ancillary Benefits Management

 
  • 10,000+

    Injured Worker Patients Served

  • 400+

    Healthesystems Associates

  • 4,000+

    Claims Professionals Supported

  • 6,000+

    Active Vertic─ô Claims Portal Users

Who We Are

Healthesystems is a company of thought leaders, innovators and strategists. We insist on staying out in front of the changing landscape. Our expert leaders help set the standards and shape the future of workers’ compensation benefits management, pharmacotherapy, occupational medicine and technological innovation. As thought leaders, we share our expertise in ways that are helpful to our clients and our industry.

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  • Medical Professionals (Clinicians, Pharmacists, Doctors, etc.)
  •  
  • Compliance Experts
  •  
  • Data Architects & Analytics Experts
  •  
  • Developers & Programmers
  •  
  • Healthcare & Benefits Specialists
  •  
  • Client Services
  •  
  • Product Innovators
  •  

“We truly honor and value our partnership with Healthesystems. They are committed to providing us with the right information at the right time so we can make well educated and informed decisions about workers' compensation patients.”

 

Industry Expertise

We are workers’ compensation experts. We understand the unique issues, complexities and challenges. Our experience, knowledge and longstanding industry relationships led us to develop best-in-class PBM and ABM solutions that deliver extraordinary results. Our groundbreaking ABM solution stands alone in the industry and our PBM solution is comprised of industry unique tools and services providing unmatched value and results.


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Exceptional Service

Relationships are important to us. Whether we are integrating systems in an implementation, shaping regulatory changes or advising claims professionals — exceptional service is our only option.

 

Inspiring Loyalty

Honesty and integrity are at the core of our business practices. We work in partnership with our clients, supporting their goals and initiatives. We deeply value our client’s loyalty and trust.


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A Solid Partner

As a privately owned company, Healthesystems maintains a strong business foundation focused on stability and growth. Our successful track record and growth is the result of great leadership and constant innovation. We will continue to grow by offering our clients new solutions and unmatched services.


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Leaders in

Benefits Management

Workers’ Compensation

Occupational Medicine

Pharmacy

Clinical Services

Compliance

Innovators in

Healthcare Technology

Insurance Technology

Claims Processing

Workflow Automation

Who We Serve

State Fund Insurance Programs

Workers’ Compensation Payers

Third Party Administrators (TPAs)

State & Government Entities

Municipalities