Better Outcomes Before IDR: A TPA Case Study in NSA Performance
Explore how to use AI and automation improve healthcare claims management and how collaborating with experts can help.
Read more
Help members choose higher-value, lower-cost care with trusted guidance and personalized costs.
Help members find providers by specialty, network, location and other personalized filters.
Provide personalized cost estimates, benefits and cost sharing before members receive care.
Enrich provider search with ratings, quality insights and detailed provider information.
Meet Transparency in Coverage requirements.
Deploy through APIs or a configurable member experience that fits your digital strategy.
Integrate SmartShopper® to reward members for searching for and getting high-value, lower-cost care.
Part 1 of our Payer Value Series shows how claims transparency improves the provider payment experience, cutting denials and write-offs while helping payers reduce disputes and rework.
Clear EOBs, ID cards and enrollment materials start with connected claims data, compliance expertise and resilient operations behind the scenes.
Learn how P&C insurers can modernize medical payments, reduce manual work, accelerate claims workflows and improve claimant and provider experiences.
S365 is a provider search and cost transparency platform that helps members find providers, compare costs, and choose care with higher confidence.
S365 helps members find the right providers through personalized search, provider information, network data and advanced filtering.
S365 provides personalized cost information, benefit details and coverage information to help members understand healthcare costs before receiving care.
Yes. S365 can connect into existing member portals through APIs or a configurable user interface, creating a smoother member journey.
Yes. S365 integrates with SmartShopper® to guide members to high-value, lower-cost providers and reward them for getting care from one of those providers.
S365 helps health plans empower members to take action on the healthcare decisions that matter most—driving higher-value care and better outcomes for both members and health plans.