Accurate provider data and member intelligence reduce leakage, meet compliance requirements, and power clear, relevant engagement across every touchpoint to improve quality outcomes, retain members, and strengthen employer relationships.
RevSpring combines provider, member, and market intelligence with tools that connect people to the right in-network care, deliver communications that drive action at every touchpoint, and make premium payments simple enough that members actually complete them.
Compliance and outcomes for health plans and their members
Patient appointment
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Health plans often struggle with disconnected provider data, manual reconciliation, and member-facing inaccuracies. Kyruus Connect addresses these challenges with a centralized approach to managing, enriching, and validating provider data at scale.
Deliver integrated, dynamic care guidance directly within the search experience. With personalized recommendations, advanced ranking, and value-based care options, members are guided toward clinically appropriate, high-quality providers and services that can lower costs for both the member and the plan.
RevSpring’s Enterprise MCP gives health plans a verified, compliant, AI-accessible data layer that grounds every member interaction in the same validated provider and cost transparency data. From call center agents to member portals to AI assistants, your organization can deliver consistent, trusted guidance across every channel.
Cost uncertainty and changing regulations create confusion for members and complexity for health plans. RevSpring helps solve both with personalized cost transparency tools, streamlined machine-readable file support, and intuitive experiences that build trust and support better care decisions.
Health plans need member communications that work across print, digital outreach, and key service moments. RevSpring brings those touchpoints together with clear, compliant communications that support enrollment, care gaps, payments, service, and retention across the full member experience.
Payment confusion and limited flexibility drive delinquency, call volume, and frustration. RevSpring helps reduce payment friction with multimodal payment experiences that improve completion rates and support stronger financial outcomes.
Improving provider data accuracy was at the heart of Geisinger Health Plan’s member experience strategy. Enriched profiles featuring photos, care philosophies, and languages spoken gave members the context needed to make more confident care decisions — resulting in 79% of providers enhancing their profiles, a 54% increase in profile interactions, and 114% higher member engagement compared to other directory providers.
Connect care access, communications, transparency, and premium payments in one experience that helps plans drive action.