Smarter Reimbursement. Stronger Compliance.

Automate reimbursement and substantiation with intelligent claims processing that delivers speed, accuracy and peace of mind.

Reimbursement and substantiation shouldn’t be a burden on your team or your participants. Lumelight’s Crossover Claims solution simplifies the path from claims to payment by validating, formatting and matching claims with precision. Whether reconciling against card transactions or preparing files for TPA systems, we help ensure each claim is clean, compliant and ready to move.

  • Matches eligible claims to card transactions, achieving substantiation rates as high as 98%
  • Filters out claims that fall outside eligibility, enrollment periods or plan runout dates
  • Standardizes multiple formats into a clean, import-ready file for industry-leading platforms
  • Reduces manual substantiation requests and participant touchpoints
  • Customizable rules engine supports your specific plan setup and administrative requirements
  • Secure processing built on HIPAA-compliant and SOC 2-audited infrastructure

Ready to eliminate reimbursement headaches and simplify substantiation?

ACA Employer Reporting

End-to-end ACA Employer Reporting handled by experts who’ve never missed a filing — so you can focus on your people, not the paperwork.

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Dependent Eligibility Verification

iVerifyPro makes verification effortless for employers and employees alike, bringing accuracy, transparency and ease to every interaction.

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Fiduciary Solutions

Recent litigation has put employer governance practices under a brighter spotlight. Check-the-box fiduciary compliance is no longer enough. Today’s standards demand clear documentation, stronger oversight, and defensible decisions. 

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Mental Health Parity Analysis

Lumelight’s Mental Health Parity Analysis is designed to produce comprehensive comparative analyses – we like to call it our parity book report!

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Why Lumelight

We’ve Come Together As Lumelight

Lumelight is an integrated workplace administration and compliance company. We support brokers and TPAs who help employers navigate complex areas like benefits design, compliance, and administration.

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A Place to Create Impact

We’re not here to maintain the status quo – we’re here to transform an industry. Whether you’re a regulatory specialist, data analyst or client advisor, your role drives confidence and mitigates risk for organizations nationwide.

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We handle the complexities of benefits compliance and administration, empowering you to focus on what you do best.