Stay compliant with Medicare regulations

With our comprehensive range of solutions in digital health, operational transformation, and high-impact consulting, we empower companies to provide personalized, efficient, and knowledgeable care.

What We Do

Healthcare companies may struggle to navigate the Medicare program’s many rules and regulations. The frequent changes to Medicare policies and regulations increase complexity. The Centres for Medicare & Medicaid Services (CMS), which oversees the Medicare program in the US, frequently updates its rules and regulations, making it challenging for Healthcare Technology Companies to keep up with the changes and to comply with them. Fulcrum Digital’s experienced teams maintain a system to stay up-to-date with the latest developments. It has built a framework that can adopt changes easily and quickly.

We have been an ally and technology partner for our clients in their digital transformation journey enabling:

  • Electronic transmission of prescription to supplier/pharmacy.
  • Seamless information exchange to Electronic Health Record systems using the HL7 Fast Healthcare Interoperability Resources.
  • Automated claims processing using Robotic Process Automation.

How We Help Health Insurers

We address the variety of unique pain points for Health insurers suitable to your size, business model, and target market.

Medical Record & Bill Review Services

Capture, organize, and securely manage a complete view of patient’s medical history, and generate medical record summaries, medical bills, and coverage accordingly.

Claims Management

Relieve pressure on your claims processes and litigations, relying on our trusted attorneys and legal specialists to ensure SLA compliance and reduce your legal costs.


Improve underwriting guidelines from centralized data from actuarial teams, and strengthen data backed decision-making protocols through our proven underwriting methodology.

Policy Admin​

Streamline your rating calculations, policy issuance, endorsement, renewals, and reporting requirements under one digitally enabled team.

Integrated Data Management

An end-to-end workflow that includes data extraction, data governance, and data analytics as a service.

FulcrumOne Development Accelerator

Our low-code development accelerator with insurance-specific and cross-industry components ready to use saves clients on average 30% on development time and cost.

Our Partners

Trusted SI Partner and collaborator with some of the best in the business. Click on the logos below to find out more.

Don’t take our word for it!

"Fulcrum Digital’s ability to attract and retain top talent has been a key part of our success at DMEscripts. They have been the ideal partner to lead the transformation of our software and to assist us in handling the complexities of the US healthcare system."

Ken Hodel
Alhilal Life logo

Ken Hodel Chief Operating Officer

Ken Hodel

A Proven Track Record of Customer Satisfaction.

Insurance Company Taps 13% More Customers Through Digital Innovation

Insurance Company Taps 13% More Customers Through Digital Innovation

Time for a Quick Call?

Speak with our team and learn what we have to offer.

    Time for a Quick Call?

    Speak with our team and learn what we have to offer.