Priority Care Solutions
Priority Care Solutions operates as a brand under Enlyte Group, LLC, providing integrated claims technology, clinical case management, pharmacy benefit management, network management, and cost containment services to insurance carriers, TPAs, and self-insured employers across more than 2,000 entities.
- Company typePrivate
- Founded2014
- HeadquartersTampa, United States
- Headcount—
- GTM typeB2B
- OfferingServices
What Priority Care Solutions does
Priority Care Solutions operates as a customer-facing brand under Enlyte Group, LLC, a privately held P&C industry platform that was formed by unifying Mitchell International (auto physical damage technology), Genex Services (clinical case management), Coventry Health Care Workers Compensation (network management), PartsTrader (parts procurement marketplace), and Apricus Specialty Solutions under a single corporate parent in 2021. The platform delivers integrated claims technology, clinical services, pharmacy benefit management, network management, cost containment (medical bill review, audit, negotiations), and disability management across workers' compensation, auto casualty, and auto physical damage lines.
The underlying technology stack is a cloud-first platform combining Mitchell's collision estimating and claims management solutions (Mitchell Cloud Estimating, Mitchell WorkCenter, Decision Point 360° claim view), AI-powered medical record summarization, automated damage appraisal, pharmacy fraud detection, and outcomes-based analytics, now centralized on a Snowflake data infrastructure and exposed through Guidewire Cloud Accelerator integrations. Core proprietary products include ScriptAdvisor (PBM), ClinicalCare24 (nurse triage), Apricus specialty referral services, and a broad-based plus outcomes-based provider network spanning state-certified managed care plans.
Enlyte sells primarily through enterprise field sales targeting insurance carriers, third-party administrators, and self-insured employers under custom multi-year contracts on annual billing, with revenue streams split between subscription software, managed clinical services, transaction-fee bill review, and PBM economics. The company serves 1,300+ payers, 20,000+ organizations through Mitchell, and 2,000+ entities including a majority of Fortune 500 self-insured employers, with named enterprise customers including Progressive Insurance, Builders, and Amerisure.
Priority Care Solutions firmographics
Firmographics- Name
- Priority Care Solutions
- Legal name
- Enlyte Group, LLC
- Website
- https://prioritycaresolutions.com
- Company type
- Private
- Founded year
- 2014
- Operating status
- Operating
- Short description
- Priority Care Solutions operates as a brand under Enlyte Group, LLC, providing integrated claims technology, clinical case management, pharmacy benefit management, network management, and cost containment services to insurance carriers, TPAs, and self-insured employers across more than 2,000 entities.
- Ownership category
- akta.pro rank
Priority Care Solutions industry classification
Industry- Product category
- Claims Management Services
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Electronic and Precision Equipment Repair and Maintenance (8112)
- SIC
- Hospital & Medical Service Plans (6324), Services-Home Health Care Services (8082)
- akta.pro primary industry
- Care Management & Population Health Program Administration (HLAEALAG)
- akta.pro secondary industry
- Auto/No-Fault PPO Networks (HLAEANAI)
Keywords
Where Priority Care Solutions is headquartered
LocationHeadquarters
- HQ city
- Tampa
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Priority Care Solutions business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Claims Technology Solutions: Software solutions for claims management, estimating, and review sold to insurance carriers, collision repairers and OEMs
- Clinical Services: Medical managed care services including case management, utilization review, and injury management
- Pharmacy Benefit Management: PBM services for workers' compensation and auto casualty including clinical pharmacy management and pharmacy intervention
- Network Management Services: Provider network solutions including broad-based networks, outcomes-based networks, and state-certified managed care plans
- Cost Containment Services: Medical bill review, bill audit, negotiations, and regulatory reporting services
- Disability Management Services: Short-term and long-term disability management, absence management, and social security disability services
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Enterprise enterprise contracts for carriers and TPAs |
| Subscription | Annual | Self-insured employer programs |
Go-to-market motion1 record
Distribution channels5 records
Marketing channels12 records
Priority Care Solutions product offering
Product offeringCore offering
Priority Care Solutions operates as a specialty managed care services and network provider under Enlyte Group, LLC, delivering integrated clinical, network, pharmacy benefit management, and bill review solutions across workers' compensation, auto casualty, and auto physical damage claims. The company combines people-driven managed services (case management, utilization review, network management, PBM) with proprietary technology platforms (Mitchell auto physical damage, Decision Point, ScriptAdvisor) for insurance carriers, third-party administrators, self-insured employers, and collision repairers.
Differentiator
Problem solved
Functional benefit
Brands
- Mitchell Cloud Estimating: Cloud-based estimating platform for collision repairers supporting passenger vehicles, commercial trucks, and specialty vehicles
- Mitchell WorkCenter
- Decision Point
- Apricus Specialty Solutions
- ClinicalCare24
- ScriptAdvisor
Products and services
- Cost Containment Services
Quantifiable outcome
- 25%+ reduction in Workers' Comp Medical Spend
- +8 more outcomes
Companies that use Priority Care Solutions
Customer profileNamed customers5 records
Segments6 records
Ideal customer profiles4 records
Priority Care Solutions technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration3 records
AI capability8 records
Feature7 records
Priority Care Solutions partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered core and supporting.
- VerisyscoreVerisys provides credentials verification organization services accredited by the National Committee for Quality Assurance (NCQA) to support Coventry's credentialing and provider data validation. Verisys contacts Coventry-delegated entities for scheduling annual Credentialing Delegation Audits. Partnership enables provider network quality assurance for workers' compensation services.
- GuidewirecoreGuidewire Cloud Accelerator partnership provides prebuilt integration between Enlyte claims management solutions and Guidewire platform, helping claims teams streamline medical bill review, payments, and system integrations. Enables faster implementation and reduced IT burden for mutual customers.
- SnowflakesupportingPartnership with Snowflake brings next-generation data capabilities, including a data platform built to store and centralize access to data for developing advanced analytics in P&C claims management.
Scale indicators13 records
Recent moves6 records
Expansion highlights6 records
Priority Care Solutions competitors and assessment
Company assessmentDirect peers
- One Call (One Call Care Management): Specialty care management provider for workers' comp and auto claims, coordinating diagnostics, DME, physical therapy and transportation — directly comparable to Enlyte's Apricus specialty services.
- Crawford & Company: Global independent claims management and managed care services firm (parent of Broadspire), providing workers' comp, auto and disability claims administration that overlaps with Enlyte's clinical and disability solutions.
- Helmsman Management Services: Liberty Mutual-owned third-party administrator providing workers' comp, auto and general liability claims services to insurers, MGAs and self-insureds — comparable to Enlyte's TPA-focused capabilities.
- ESIS (ESIS, Inc.): Risk management and claims services subsidiary of Chubb, offering casualty and workers' comp claims management, medical management and loss control — comparable to Enlyte's carrier-focused offerings.
- Gallagher Bassett Services: Third-party claims administration and managed care services unit of Arthur J. Gallagher, providing casualty, workers' comp and auto claims management for carriers, TPAs and self-insureds — directly comparable to Enlyte's integrated payer platform.
- Sedgwick: Largest independent North American claims management and managed care services provider, serving carriers, TPAs and self-insured employers with clinical, network, disability and return-to-work services — directly overlapping Enlyte's Genex/Coventry/Apricus offerings.
- CCC Intelligent Solutions: Leading software provider for the auto physical damage and claims ecosystem, competing directly with Mitchell's auto estimating, appraisal and parts sourcing platform.
- CorVel Corporation: Public managed care services company focused on workers' compensation claims administration, medical case management, bill review and PBM — a direct competitor to Enlyte's Genex, Coventry and ScriptAdvisor brands.
- Concentra (Select Medical): Occupational medicine and workers' comp services provider offering injury care, urgent care, physical therapy and employer services — overlapping with Enlyte's clinical case management and specialty services.
Broad incumbents
- The Hartford: Large diversified P&C and group benefits insurer with significant in-house workers' comp and auto claims operations, as well as third-party administration capabilities — a broad incumbent whose claims function intersects with Enlyte's customer base and product set.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat7 records
Key risks6 records
Key highlights7 records
Customer concentration
Priority Care Solutions social profiles
Digital presencePriority Care Solutions financial estimates
Financial estimateRevenue estimate
Valuation estimate
Priority Care Solutions leadership team
Management profileNumber of profiles
Profiles11 records
Priority Care Solutions subsidiaries and ownership
Company hierarchySubsidiaries5 records
Priority Care Solutions funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Priority Care Solutions M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Priority Care Solutions
What does Priority Care Solutions do?
Priority Care Solutions operates as a specialty managed care services and network provider under Enlyte Group, LLC, delivering integrated clinical, network, pharmacy benefit management, and bill review solutions across workers' compensation, auto casualty, and auto physical damage claims. The company combines people-driven managed services (case management, utilization review, network management, PBM) with proprietary technology platforms (Mitchell auto physical damage, Decision Point, ScriptAdvisor) for insurance carriers, third-party administrators, self-insured employers, and collision repairers.
Is Priority Care Solutions a public or private company?
Priority Care Solutions is a private company. It is classified as unknown and is currently operating.
When was Priority Care Solutions founded?
Priority Care Solutions was founded in 2014.
Where is Priority Care Solutions based?
Priority Care Solutions is headquartered in Tampa, United States, in the North America region.
How does Priority Care Solutions make money?
Six revenue lines are on record. Claims Technology Solutions are the primary driver. The others are clinical Services, pharmacy Benefit Management, network Management Services, cost Containment Services and disability Management Services.
Who are Priority Care Solutions's main competitors?
Direct peers on record are One Call (One Call Care Management), Crawford & Company, Helmsman Management Services, ESIS (ESIS, Inc.), Gallagher Bassett Services, Sedgwick, CCC Intelligent Solutions, CorVel Corporation and Concentra (Select Medical). The Hartford is listed as a broad incumbent.
Does Priority Care Solutions have an API?
No public API is recorded for Priority Care Solutions.
What industry is Priority Care Solutions in?
Priority Care Solutions's product category is Claims Management Services. Its primary akta.pro industry code is HLAEALAG, Care Management & Population Health Program Administration, with a secondary code of HLAEANAI, Auto/No-Fault PPO Networks. Its NAICS code is 524292 and its SIC code is 6324.