For Employers — OurHealthcareConcierge

Built for Employer Benefits

Reduce avoidable claims, improve access, and delight members with AI-guided triage, benefits navigation, and instant clinician handoff. OurHealthcareConcierge slots into your existing ecosystem — web, SMS, and broker workflows.

Claims deflection: safely redirect non-urgent cases away from ER/urgent care.

Member-loved experience: answers in minutes, with clear next steps and costs.

Enterprise-ready: SSO, reporting, BAA, and SLAs for scale.

Outcomes & ROI

Employers typically see fewer high-cost encounters, faster time-to-care, and higher satisfaction. We measure every step so you can prove ROI.

Diversion

10–30% fewer avoidable visits

Guideline-aligned self-care and lower-cost site-of-care routing reduce spend without reducing safety.

Access

Minutes to first answer

Always-on AI intake with rapid escalation to a clinician when appropriate.

Satisfaction

High member CSAT

Plain-language summaries and transparent costs drive trust and repeat use.

Sample ROI Snapshot

Illustrative only — we’ll tailor to your population size, geography, and plan design.

Metric	Before	After	Impact
Non-urgent ER visits / 1,000 members / year	85	63	−22 (≈ −26%)
Avg. cost per redirected case	$1,150	$120	≈ −$1,030
Time to first clinical touch	2–3 days	< 60 minutes	Faster access
Member satisfaction (CSAT)	—	4.7 / 5	Improved experience

Metric

Before

After

Impact

Non-urgent ER visits / 1,000 members / year

−22 (≈ −26%)

Avg. cost per redirected case

$1,150

$120

≈ −$1,030

Time to first clinical touch

2–3 days

< 60 minutes

Faster access

Member satisfaction (CSAT)

—

4.7 / 5

Improved experience

We share monthly reports with diversion, escalations, Rx turnaround, and satisfaction trends.

Plug into your plan design

Eligibility & coverage: verify plan status, deductibles, and copays in-flow.

Network steering: prioritize in-network options and preferred partners.

Transparent OOP: show estimated out-of-pocket before booking a visit.

Broker & TPA alignment: keep your existing partners — we make them shine.

Deployment in ~30 Days

Week 1

Scope & success metrics

Define populations, geos, licensure, and KPIs (diversion, time-to-care, CSAT).

Week 2

Integrations

SSO, member eligibility checks, preferred networks, and reporting destinations.

Week 3–4

Pilot & launch

Member comms, broker enablement, and a soft launch with live QA and tuning.

Need a faster path? We can start with SMS-first triage while deeper integrations follow.

Reporting & SLAs

Diversion & routing: where members go (self-care, virtual, clinic) and why.
Time-to-care: AI first-answer times and clinician pickup SLAs.
Rx turnaround: time to prescription when appropriate.
Quality & safety: red-flag routing, follow-up completion, and incident metrics.

Monthly executive summary with trends, plus CSV/BI exports on request.

Security & compliance

HIPAA-minded platform; BAA available for eligible customers.
Encryption in transit/at rest, role-based access, audit logging, incident response.
De-identified analytics for quality improvement and safety guardrail tuning.

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What benefits leaders say

Quotes are illustrative placeholders — replace with your own.

“22% fewer urgent care claims in Q2.”

Benefits leader, 1,200-employee tech firm

“Members finally see costs up front.”

VP, People Ops

“Plug-and-play with our broker stack.”

Senior Broker