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S365® MRF Hub is now live and publishing Machine Readable Files for clients nationwide

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S365® MRF Hub is now live and publishing Machine Readable Files for clients nationwide

Learn more »
Sapphire Digital
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Easily Find & Access Quality Healthcare—All Day, Every Day

July 29, 2021

In healthcare, most consumer questions are related to finding care and understanding costs.

Our healthcare shopping and care navigation platform provides members care and cost answers while eliminating friction in accessing the right care at the right time. And as our platform evolves to meet the needs of the growing digital-first healthcare member population, we’ve updated its name to reflect our broader focus.

Meet S365

Our S365 Healthcare Shopping and Transparency Platform delivers a robust, frictionless, continuously improving healthcare shopping experiences for our health plan clients and their members all year long.

By seamlessly blending sophisticated data into simple experiences, our flexible cost transparency and member navigation platform brings together a number of purpose-specific components and capabilities to deliver a robust, frictionless, continuously improving healthcare shopping experiences for our clients and their members.

Mixing comprehensive data management with best-in-class UI through our customer-validated roadmap and CI/CD approach to software delivery, our solution and federated partners provide a set of capabilities that assemble to create the right solution for any health plan.

The S365 platform helps people find the right care, all day, every day, by focusing on the following:

Steerage & Direction

Suggesting and highlighting the highest quality, cost effective doctors and care programs at relevant touch points in the care journey. We do the work behind the scenes with flexible taxonomies, algorithms, and ML/AI models, so members see are their best options — curated just for them.

  • Enable them to find care options within the context of your health benefits
  • Make it easy to find costs for specific procedures to better plan for care
  • Provide suggestions to guide your care selection through typeahead search and prediction

Connection & Retention

Integrating chosen point solutions into a seamless care journey with clinical insights, patient ratings and reviews, and reward opportunities that deliver consistent member satisfaction scores and demonstrated ROI and retention.

  • Provide access to the right support or provider option at the right time within each shopping journey through integrated partner solutions
  • Reward members for making value-based healthcare choices for certain procedures and tests
  • Help them benefit from peer reviews to make more informed provider and facility decisions

Support & Guidance

Meeting compliance requirements to save and print provider information for offline use, with traditional paper-printable options as well as tech-savvy options for digital natives. For those members who require additional support, our highly rated Concierge team can advise on reward-eligible procedures, and even switch or book appointments.

  • Enable members to print results in a number of different forms
  • Provide a personal touch for members with concierge care navigation services

Administration

As the dynamics of cost, transparency, and competitiveness in healthcare continue to increase and member expectations for digital-first, self-service tools become more pronounced, the need to update and share updates and adjustments to plans and member benefits increase along with it. Our administrative tools continue to grow and expand to enable plans to respond with increased speed and precision.

  • Manage the data and content in the platform to keep members current as strategies, plans, and member needs change
  • Integrate partners to eliminate friction in the member experience
  • Leverage subject matter expertise through consulting services to augment health plan capabilities
  • Get utilization intelligence through product, program, and account specific analytics

For more information about our platform, our solutions, or our company, feel free to request a demo.

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Sapphire Digital

Sapphire Digital

160 Chubb Ave
Suite 301

Lyndhurst, NJ 07071 USA

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  • As of 7/1/2022, S365 MRF® Hub now live enabling Plans and TPAs to make Machine Readable Files (MRFs) publicly available
  • Solution for Plans and TPAs to meet MRF management needs for Transparency in Coverage
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