Trusted PCG Partners
We partner with the best service and complimentary software companies in Healthcare
All our Partners are Vetted to Keep Your Trust
PCG partners with established organizations across the claims and payer ecosystem, including claims software providers, payer staffing firms, process improvement groups, stop-loss consultants, IT and security teams, coding experts, TPAs, and marketing or business development specialists. Every partner is vetted prior to engagement—each has proven solutions in the market, active client deployments, compliance oversight, and a track record of improving operational and financial outcomes for organizations similar to yours.
Proven, client-tested solutions
Measurable impacts for like-clients
Compliance-focused organizations only
Deep expertise across claims and/or technology
Existing payer clients
Aligned to improve efficiency & costs
Seamless Integration and Partnership
PLEXIS HEALTH
PLEXIS Healthcare Systems is a leading payer technology company that delivers trusted enterprise core administration and claims management solutions to healthcare payers and delivery systems around the globe. PLEXIS empowers the business of healthcare, igniting growth, innovation, and efficiencies across diverse business lines for payer organizations.
QUICKCAP
MedVision creates multifunctional, innovative, high-quality, and adaptable software tools that meet the diverse operational and administrative needs of value-based care, population health management, coordinated care, and managed care services. Their software solution pairs well with our VE claims scrubber and auditing modules.
EZ-CAP
MedVision creates multifunctional, innovative, high-quality, and adaptable software tools that meet the diverse operational and administrative needs of value-based care, population health management, coordinated care, and managed care services. Their software solution pairs well with our VE claims scrubber and auditing modules.
EPIC TAPESTRY
Epic Tapestry is a leading payer platform for claims and authorizations. Through VEWS™, PCG integrates directly to deliver real-time coding validation and reimbursement logic at submission. This enables instant application of NCCI edits, CMS/Medicaid rules, and payer policies—reducing errors, denials, and compliance risk without disrupting workflows.
Automation Partners
HCIM
HCIM partnes with health care payers and managed care organizations delivering solutions that streamline their operations, increase efficiency, and improve accuracy with proven ROI. Their automated claims processing and payments application (SymKey) can help streamline EZ-Cap client's claims adjudication and payment processes seamlessly.
KEY SOFTWARE
KEY Software delivers robust, scalable claims- and payment-processing platforms for self-funded employers, TPAs, and stop-loss carriers. Their proven frameworks handle eligibility, enrollment, adjudication, payment, and analytics—empowering organizations to drive operational efficiency, optimize costs, and scale with confidence.
Consultants, Brokers, and Associations
PINNACLE BROKERS
Pinnacle Brokers Insurance Solutions, LLC is a premier insurance brokerage offering healthcare and managed care products. Our expert team excels in risk management, particularly in stop-loss and reinsurance. We have nearly 45 years of experience serving clients in the Managed Care sector with risk management, claims auditing, coverage analysis, and underwriting.
MIRRA HEALTH
MIRRA is a Florida-based Third-Party Administrator which integrates Payer, Providers, and Patient through a holistic and comprehensive approach, thus touching upon all aspects of Healthcare industry.
CAHP
The California Association of Health Plans (CAHP) represents most licensed health plans serving millions of Californians through various programs. As a leading healthcare association, CAHP unites health plan executives, policymakers, and industry leaders to promote high-quality, affordable healthcare in California. PCG Software supports CAHP members with AI-powered technologies for payment integrity, compliance, and fraud detection, enhancing financial performance and regulatory compliance.
HICE
The Health Industry Collaboration Effort (HICE) is a national nonprofit that brings together health plans, providers, government agencies, and healthcare associations to simplify healthcare administration through education and standardization. HICE develops best practices and training to enhance consistency in claims, authorizations, appeals, and credentialing. PCG Software supports these initiatives by offering AI-powered payment integrity and reimbursement technology that aligns with HICE's mission of improving operational efficiency.
Publications Partners
MEDHEALTH REVIEW
MedHealth Review specializes in independent clinical and coding reviews to support accurate claim determinations. Their team offers expertise in medical necessity, DRG validation, and complex case analysis, aiding payers in compliance and validating high-risk claims. As a PCG partner, they enhance Virtual Examiner® by providing clinical insight where human review is necessary, ensuring automated findings align with payer policy and regulatory standards.
HEALTH AFFAIRS
All HIStalk Webinars are moderated by HIStalk and follow documented quality and content standards that have been validated by CIO reviewers for educational value, presentation style, and content that matches the stated title and learning objectives. We offer both sponsored and unsponsored Webinars, so if you have an educational message of any type for the HIStalk audience, contact Lorre Wisham for more information.
HEALTHCARE IT TODAY
All HIStalk Webinars are moderated by HIStalk and follow documented quality and content standards that have been validated by CIO reviewers for educational value, presentation style, and content that matches the stated title and learning objectives. We offer both sponsored and unsponsored Webinars, so if you have an educational message of any type for the HIStalk audience, contact Lorre Wisham for more information.
HEALTH AFFAIRS
All HIStalk Webinars are moderated by HIStalk and follow documented quality and content standards that have been validated by CIO reviewers for educational value, presentation style, and content that matches the stated title and learning objectives. We offer both sponsored and unsponsored Webinars, so if you have an educational message of any type for the HIStalk audience, contact Lorre Wisham for more information.
HIStalk
All HIStalk Webinars are moderated by HIStalk and follow documented quality and content standards that have been validated by CIO reviewers for educational value, presentation style, and content that matches the stated title and learning objectives. We offer both sponsored and unsponsored Webinars, so if you have an educational message of any type for the HIStalk audience, contact Lorre Wisham for more information.
PCG Partner Request Forms
Become a PCG Partner
Our initial process begins with a 30-45 minute call to discuss our overlapping customes, potential collaborations, and have we can help one another serve payer and provider organizations.
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To qualify for our referral program, you must provide all of the following information to designate this entity as your official referral.
