Markets We Serve

Proactive COB accuracy applied where it matters most.

Strout establishes COB accuracy at the member level before claims are paid, preventing downstream disruption and delivering higher savings at lower cost across the healthcare ecosystem.
Coordination of Benefits challenges vary significantly across market segments. A Medicare Advantage plan managing dual-eligible populations faces different complexity than a commercial TPA coordinating employer group coverage. A provider-sponsored health plan balances different operational priorities than a national Blues plan or regional Medicaid MCO.

We work with health plans across diverse market segments:

Strout’s platform adapts to each market’s unique requirements while maintaining the same core principle: prevent erroneous payments at the member level before claims are processed. This upstream approach delivers value across all segments, reducing administrative burden, improving compliance, and protecting savings that traditional recovery models cannot capture.

Market Segments

National & Regional Health Plans

From large national carriers to regional payers and Blues plans, Strout helps health plans establish proactive COB accuracy across Medicare Advantage, Medicare Supplement, and commercial lines of business.

  • Prevent erroneous payments before claims process
  • Reduce administrative burden from recovery workflows
  • Maintain regulatory compliance with CMS and state requirements
  • Scale COB operations without adding headcount

Government Programs & TPAs

Medicaid managed care plans, Medicare Advantage organizations, and third-party administrators rely on Strout for member-level accuracy in complex, multi-coverage environments.

  • Navigate complex COB scenarios across multiple government programs
  • Meet CMS data quality and reporting requirements
  • Reduce audit risk and regulatory exposure
  • Improve member experience through accurate claims processing

Payment Integrity Partners

Payment integrity vendors and cost containment firms partner with Strout to strengthen front-end accuracy, shifting from reactive recovery to proactive prevention.

  • Enhance existing PI programs with preventive intelligence
  • Reduce reliance on low-yield recovery efforts
  • Deliver higher ROI for health plan clients
  • Differentiate with prevention-focused solutions

Revenue Cycle Organizations

Front-end RCM providers and clearinghouses integrate Strout's COB intelligence to prevent coverage errors from reaching claims, minimizing rejections, denials, and rework.

  • Reduce claim rejections and denials at the source
  • Lower operational costs from rework and resubmission
  • Improve clean claim rates and payment velocity
  • Enhance provider satisfaction with smoother claims flow

Self-Insured Employers

Large employers and coalitions leverage Strout to improve coordination with employees' other coverage, reducing plan costs without disrupting existing benefit operations.

  • Identify when employees have other primary coverage
  • Reduce employer plan costs through accurate COB
  • Maintain employee privacy and satisfaction
  • Integrate seamlessly with existing benefit administrators

Provider-Sponsored Health Plans

Health systems operating their own health plans use Strout to balance clinical excellence with payment accuracy, ensuring COB decisions support both care quality and financial performance.

  • Align clinical operations with payment accuracy goals
  • Reduce provider abrasion from recovery efforts
  • Protect margins while maintaining care quality standards
  • Support population health and value-based care models

Lines of Business Coverage

Strout’s platform supports COB across all major health plan types, including Medicare and government programs where coordination is most complex.

Medicare Advantage

Deep expertise in MSP, Part C coordination, and complex dual-eligible scenarios

Medicare Supplement

Ensure accurate primacy between Original Medicare and supplemental coverage

Commercial Group

Coordinate employer-sponsored coverage, including active and retiree populations

Medicaid Managed Care

Navigate TPL requirements and multi-program coordination scenarios

Individual & Marketplace

Manage COB across individual market plans and subsidy reconciliation

Pharmacy

Coordinate Part D and pharmacy benefits across medical and prescription drug plans

Common Challenges We Solve

For Health Plans & TPAs

  • Differentiating offerings with proactive prevention capabilities
  • Reducing claim rejections and denials at the front end
  • Integrating COB intelligence without disrupting existing workflows
  • Delivering measurable ROI through prevention vs. recovery

For Self-Insured Employers

  • Identifying when employees have other primary coverage
  • Controlling plan costs through accurate COB
  • Maintaining employee privacy and satisfaction
  • Integrating with existing benefit administrators

Is Strout Right for Your Organization?

Whether you’re a national health plan, regional TPA, payment integrity partner, or self-insured employer, our team can help you understand how proactive COB delivers value in your market.
Let's Talk