Pinnacle Claims Management

Pinnacle Claims Management, also known by its alias Pinnacle Claims Management, is a health insurance administrator headquartered in the United States. The company provides claims processing and administrative services for health insurance plans, serving both government and private sector clients. As part of its administration functions, it handles sensitive personal data, including protected health information and Social Security numbers. Its core business revolves around managing the lifecycle of health insurance claims, from submission to payment, for the benefit of payers and members. The organization’s role as a custodian of personal data means it must maintain controls to protect the confidentiality and integrity of the information it processes.

In June 2022, Pinnacle Claims Management experienced a data breach in which unauthorized actors accessed its computer systems, potentially compromising the personal information of numerous individuals. The company detected the intrusion, promptly secured its network, and engaged external cybersecurity experts to conduct a forensic investigation. After completing a review of the affected records, notifications were sent to impacted individuals advising them of protective measures against identity theft and fraud. This incident demonstrates the organization’s incident response capabilities and its obligation to mitigate harm when a breach occurs. While specific metrics regarding the company’s size, revenue, or employee count are not disclosed in the available sources, its client base spans public and private sector health plans. No information about parent companies, subsidiaries, or ownership structure is provided in the source material, so those details are omitted from this profile.