For self-funded groups & sharing ministries

The operating system for self-funded health plans.

Enrollment, claims, payments, and member care in one system. Zero per-claim fees, unlimited users. We configure your plans, fee schedules, and branding, and you go live in 30 days. No platform or per-member fees during onboarding.

HIPAA SOC 2-aligned controls 500 to 50,000+ members White-glove implementation
app.claimaro.com/dashboard
cClaimaro
Operations overview

Live snapshot of claims, enrollment, and payments across all plans.

Members
12,482
▲ 3.2% MoM
Claims in queue
347
▲ 18 today
Fund balance
$2.1M
▲ $84k this wk
Avg. days to pay
4.2
▼ 0.8 days
Claims throughput · last 14 days
Needs review
Claim #4712 · Chen, L.Review
Claim #4710 · Ortiz, M.Pending
Claim #4708 · Park, J.Approved
Claim #4705 · Hale, R.Approved
Claim #4702 · Smith, A.Review
$0
Per-claim fees, ever
$0
Per-seat fees, ever
30 days
To go-live, configured by us
837 / 835
Works with your clearinghouse
HIPAA
Compliant by design
SOC 2
Type II infrastructure
The problem

Be honest. You've felt this.

It's Friday, 6:47 PM. Your TPA just emailed a spreadsheet of 400 claims that need review by Monday. Your enrollment portal crashed at 3 PM (again). QuickBooks doesn't match your bank. Two members are texting about ID cards that never arrived. You're missing dinner with your family to fix problems your software should have prevented.

This is what running a community-funded health plan looks like today. It shouldn't.

Right now, you have

The duct-taped stack

  • Legacy TPA that charges per claim
  • Separate enrollment portal vendor
  • Email + spreadsheets for member ops
  • Stripe / ACH payment rails
  • QuickBooks exports you reconcile by hand
  • No CRM, no marketing system
  • Six logins. Zero source of truth.
→

With Claimaro, you get

One platform, one source of truth

  • Auto-adjudication with zero per-claim fees
  • Enrollment wizard + member portal
  • Claims queue, EOBs, ID cards, all built-in
  • Payouts and reconciliation in one place
  • Clean finance data flowing to QuickBooks
  • CRM, email + SMS marketing included
  • One login. One dashboard. One truth.
What's included

From first inquiry to paid claim, in one system.

Every stage of running the plan, built in and live on day one.

E

Stop losing members at enrollment.

Launch a branded enrollment funnel in a weekend. Multi-plan selection, dependents, auto-generated ID cards, and welcome packets. No dev team required.

A

Stop drowning in manual claim review.

Auto-adjudicate routine claims with priority-based rules, pricing, and cost-sharing. Only the claims that actually need a human get one.

$

Stop reconciling by hand.

Community-fund accounting that ties your member billing and provider payouts to a clean ledger that flows into QuickBooks automatically.

M

Stop fielding "where's my ID card?" tickets.

A modern member portal, branded to your community, where members self-serve claims, EOBs, ID cards, documents, and dependents without calling support.

C

Stop losing the context on every lead.

Full CRM with pipelines, two-way SMS, email threads, and click-to-call, right next to your member ops. The person enrolling is the same person filing claims.

G

Fill your next enrollment window without a second marketing stack.

Landing pages, forms, email + SMS sequences, lead scoring, and campaign analytics, all in the same system that runs the plan. One vendor. One price.

See the full platform →
Built for the people who run the plan

We're not trying to be everything to everyone.

Claimaro is a perfect fit for some groups and a terrible fit for others. Here's the honest truth.

✓ This is for you if…

  • You run a self-funded group or sharing ministry with 500+ members (or you're about to launch one)
  • You're currently spending $10K+/month on multiple vendors to do what one platform should do
  • Your enrollment is stuck on a portal built in 2012
  • Your TPA charges per claim and won't give you real-time data
  • You want to scale past 5,000 members without hiring another 10 people
  • You want a long-term partner, not a transactional vendor

✕ This isn't for you if…

  • You're a traditional insurance carrier (we're built for community-funded health, not insurance)
  • You have fewer than 500 members and aren't planning to grow
  • You want a cheap $99/month tool (our floor is $6,000/month, built for serious operations)
  • You want to run your claims through paper and fax
  • You don't care about HIPAA, BAAs, or where your members' PHI actually lives
  • You want to keep stitching Zapier between 12 tools

Built for two kinds of communities.

The mechanics are the same: a pooled fund, enrolled members, medical bills shared across the group. The language and compliance details are different, and Claimaro speaks both.

Self-funded groups

Run your own health plan with modern software.

Employers and associations self-funding medical benefits get a turnkey operating system for plan setup, eligibility, claims, TPA integrations, and finance exports, without building it in-house.

  • Multi-plan, multi-tier configurations
  • Stop-loss tracking & accumulators
  • TPA workflows and audit trails
  • QuickBooks & bank reconciliation
Sharing ministries

A modern home for a 35-year tradition.

From small communities to national ministries, run enrollment, sharing, and member care on a platform that speaks the language of community, with HIPAA-grade operations, SOC 2-aligned controls, and SOC 2 Type II infrastructure.

  • Member sharing & need submission
  • Eligibility & medical need review
  • Sharing distribution & transparency
  • Community messaging & care notes
How it works

From "what do we use?" to live plan in four steps.

Set up your org

White-glove onboarding. We configure your plans, branding, fee schedules, and team access. You review, we launch.

Enroll members

Publish your branded enrollment funnel. Members join, pay, and receive ID cards automatically.

Adjudicate claims

Ingest electronic claim files or enter them manually. The engine prices, applies rules, and auto-adjudicates eligible claims.

Pay & report

Disburse payments, generate remits and EOBs, and export clean finance data to QuickBooks.

✓

You own your data. Always.

No long-term lock-in. No "you have to pay to export your data" games. If you ever want to leave Claimaro, we'll hand you a complete export of your members, claims, and transactions in standard formats. No questions, no drama. We'd rather earn your business every month than hold it hostage.

Want to see it on your plan?

Book a 30-minute walkthrough. We'll model a sample enrollment, a live adjudication, and a payout, using your member count, your plan structure, your numbers. No PowerPoint.

Get my walkthrough → Show me the numbers