Reach members with a clear purpose
Use your approved care-gap lists and messages, respecting contact preferences and opt-outs.
ETHON AI FOR Payers & Member Services
Help members take the next step toward care.
AI outreach for payer and member-service teams. Turn approved care-gap lists into conversations, appointment assistance, and follow-ups your team can track.
Your rules. Your systems. Your team in control.
Care-gap outreachExample agent workflow
- Confirm the approved outreach reason
- Offer help arranging the visit
- Record the next step or contact preference
LESS ADMIN. MORE ATTENTION.
Move from an outreach list to a useful conversation.
Help members find care
Support provider searches and appointment requests using the plan information available to your workflow.
Coordinate after discharge
Help arrange requested follow-up visits and record barriers that need a person’s attention.
Track what happened next
Record outreach and appointment status separately from verified care completion.
SEE HOW ETHON HELPS
A familiar request.
A clear next step.
Explore a few moments from your team’s day.
See it with your workflow“I received a reminder from my health plan.”
- 1Confirm the approved outreach reason
- 2Offer help arranging the visit
- 3Record the next step or contact preference
A member has practical help taking the next step.
Illustrative workflow. Actions depend on your configured systems and rules.
Your team stays in control.
Your scheduling rules
Providers, visit types, and availability configured with you.
Your approved messages
Preparation and follow-ups follow the instructions you set.
A person when it matters
Clinical questions and exceptions go to the right staff.
BEFORE WE TALK
A few things
you may be wondering.
Does a booked appointment count as a closed care gap?
No. Outreach, booking, and verified care completion remain separate. Your team defines the evidence required and makes coverage or authorization decisions.
Will it work with our existing software?
We’ll review your phone, scheduling, and records systems in the demo, then confirm supported connections and any custom setup before launch.
How do we get started?
Bring us one process you want help with. We’ll walk through it in the demo, then agree the connections, rules, and staff handoffs to test with your team.
LET’S MAKE YOUR TEAM’S DAY EASIER
See what Ethon could take off your plate.
Tell us where calls or follow-ups slow your team down. We’ll show you a relevant workflow.
- Walk through a workflow that matters to you
- Discuss your software and setup
- Get clear next steps from our team
Prefer a conversation? Choose a callback.