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.
Using analytics and modeling, we can predict who may go out of network, and encourage members to make more optimal choices.
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.
Through analytics and digital targeting, we help educate members and encourage future decisions that may help them save on costs.