Pre-built Industry AI Solutions for Health Plans

Built by experts, for experts. We provides pre-built industry AI solutions to accelerate time to value.

Health Plan Sales Solutions Network Management Solutions
For Health Plans

Sales Solutions: Increase Acquisition and Retention

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AGENT PLAN COMPARISON

Quickly match the best plans for enrollment based on previous year benefits

  • Automated SBC Intake Comparison
  • Benefit Match Score
  • Benefit Weights Configuration
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GROUP PLAN RECOMMENDATION

Advise groups on the best matched plans based on their needs & annual budget

  • Automated Group Info & SBC Intake Analysis
  • Advanced Employee Preference Filters
  • Benefit Match Score with Cost Estimation
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PLAN ADVISOR

Offer prospects an estimator that highlights your strengths vs. competitors

  • Automated SBC intake when available
  • OOP cost estimates for common care needs & big ticket items
  • Well informed decision making by consumers assisted by visual aids
  • Plan comparison & recommendations
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PLAN SUMMARIZER

Extract and Present key benefits from the SBC Document

  • Surfaces key plan benefits, making it easier for users to understand and compare health plan options
  • Intuitive interface displays extracted plan benefit information
  • Identifies plan benefits across plan types
  • Utilize copy & paste function to copy feature information into your workflows
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For Health Plans

Network Solutions: Build High-Performing Networks

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NETWORK MANAGEMENT

Compare your network’s provider negotiated rates with your competitors

  • Negotiated rate comparisons
  • Identify weak spots within & across specialties
  • Sift through your coverage turf & identify areas of concern
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For Health Plans

Service Solutions: Improve Agent Productivity & Accuracy

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AGENT ASSISTANT

Automate agent decision making to quickly resolve member cases and ensure data handling compliance.

  • Improve agent experience with visual interfaces for complex data
  • Reduce call handling time with pre-determined intents and actions
  • Ensure greater accuracy and compliance with controlled business logic
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Faq's

Frequently Asked Questions

What type of AI models does Virtical specialize in?
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How does Virtical ensure the protection of personal information?
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From where does Virtical source its training data?
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Why does Virtical focus on Applied AI instead of Generative AI?
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How does Virtical ensure the accuracy and reliability of its AI models?
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Can Virtical AI’s models be integrated into existing business workflows?
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PILOT PROGRAM

Stay ahead of industry trends, gain insights, and be inspired.

Are you ready to experience the future of the health insurance industry?
Come join our exclusive pilot community today.

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