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.