Active member intercept
We help members avoid unnecessary costs through near real-time guidance that may lead to smarter choices. Whether we receive an eligibility check from an out-of-network provider, or a member is approaching their benefit limit, we proactively reach out to the member before the decision is made.
Pre-visit guidance
Using analytics and modeling, we can predict who may go out of network, and encourage members to make more optimal choices.
Real-time interventions
When we receive an eligibility check from a provider, we know who's about to go out of network, and we reach out to help guide the member to a more cost-effective option.
Post-visit follow-ups
Through analytics and digital targeting, we help educate members and encourage future decisions that may help them save on costs.