Members Don't Understand Their Coverage
Most members can't answer basic questions about their plan. Without clarity, they avoid care or misuse it — costing plan and member more.
Member outreach tools weren't built for real people.
Most members can't answer basic questions about their plan. Without clarity, they avoid care or misuse it — costing plan and member more.
Downloaded once, never returned. Apps built around documents and ID cards give members no reason to come back.
Same newsletter to every member, whatever their condition or language. Generic outreach feels like marketing; personalised outreach feels like care.
Those who need support most are least likely to respond to a letter or unknown number. Standard outreach misses them entirely.
Confusing bills and unexpected denials drive members to disengage. Rebuilding trust takes interactions centred on health, not admin.
Six capabilities on one AI-driven platform.
Personalised Member App, AI Care Navigator, Benefits Navigation & Cost Tools, Digital ID Cards & Claims Status.
Intelligent Care Gap Outreach, Multi-Channel Orchestration, Preferred Language Delivery, AI-Assisted Outbound Calls.
Care Plan Management, Adherence Monitoring & Alerts, Post-Discharge Follow-Up, Chronic Disease Support.
Member Activation Dashboard, Care Gap Closure Tracking, Outreach Performance Analytics, Quality Measure Performance.
Six AI capabilities, one member platform.
One live view of member performance.
Each result traces to a specific engagement gap we closed.
Book a Live DemoHealth data, privacy, and quality reporting — India and global.
Privacy and security frameworks across every data store and access control.
Integrates with core admin systems, claims, clinical data, and ABHA.
App, care navigator, and outreach delivered in the member's language.
Real-time quality tracking aligned to plan reporting frameworks.
Consumer-grade mobile experience built to accessibility standards.
Every outreach channel, orchestrated by AI through auditable pipelines.
Your members are paying for a plan that could genuinely improve their health — if they knew how to use it. Plans that invest in real engagement see it in their quality metrics, retention numbers, and population health outcomes.
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ASSOCHAM Member
No. It personalises by health conditions, care gaps, channel, and language.
Yes. Handled with clinical accuracy, escalated to a care coordinator.
Yes. Hindi, Tamil, Telugu, Kannada, Marathi, Bengali, Gujarati, and more.
Through standard APIs: HL7 FHIR R4, ABHA, NHCX, and X12 EDI.
The dashboard tracks care gap closure and adherence against readmissions.
Most plans go live in 8-12 weeks, with integration handled by us.