AI agents handling every call — from provider lines to care gaps.
Provider services.
Member services.
Care gap outreach.
AI voice agents purpose-built for your highest-volume phone lines — provider calls, member calls, and proactive care gap outreach.
HIPAA Compliant · SOC 2
The Challenge
Your call center is your biggest bottleneck — and your biggest cost.
Providers call about eligibility and claims. Members call about benefits and appointments. The members who need preventive care most aren't calling at all.
Provider Lines
Eligibility, claims status, prior auth, referrals — the same questions, hundreds of times a day. Your team answers while hold times climb.
Member Lines
Benefits, scheduling, Rx coverage, billing — members expect answers now. Every unanswered call erodes trust and satisfaction scores.
Care Gaps
Mailers go unopened. Voicemails go unreturned. Open gaps stay open — and your quality scores stall.
Our Services
A library of specialized agents across your three highest-volume call types.
Dozens of purpose-built AI agents — deployed across provider calls, member calls, and care gap outreach.
Provider Services.
Eligibility, claims, prior auth, referrals — answered instantly, not after 20 minutes on hold.
Member Services.
Benefits, scheduling, Rx coverage, billing — inbound and outbound, 24/7.
Care Gap Closure.
Calls members with open gaps, explains what's overdue, and books the visit on the spot.
Three call types. Dozens of specialized agents. Zero hold times.
Provider Services
Every provider call answered. Instantly.
Provider offices ask the same questions hundreds of times a day. Voxy answers every one.
Eligibility
Real-time coverage checks, plan details, and member status.
Claims Status
Voxy pulls status, explains denials, and provides next steps.
Prior Auth
Auth status, required documentation, and submission guidance.
Referrals
Confirms referral status and in-network provider options.
Member Services
Always available. Always helpful. For every member.
Members expect answers now. Voxy handles both inbound and outbound — 24/7.
Inbound — Members Calling In
Benefits
What's covered, copays, limits, and plan details.
Provider Search
Find in-network providers by specialty and location.
Scheduling
Book, reschedule, or cancel appointments.
Rx Coverage
Formulary checks, pharmacy options, refill status.
Billing
Bills, co-pays, deductibles, and payment questions.
Outbound — Voxy Reaching Members
Onboarding
Welcome calls for new members with plan education.
Risk Assessments
Health risk screenings completed over the phone.
Post-Discharge
48-hour follow-ups to confirm meds and care plan.
Reminders
Appointment confirmations and medication adherence.
Retention
Satisfaction check-ins and retention outreach.
Care Gap Closure
Proactive outreach that actually closes gaps.
Mailers go unopened. Voicemails go unreturned. Voxy calls, explains what's overdue, and books the visit.
Ingest
Voxy ingests your care gap data — HEDIS measures, preventive screenings, chronic care follow-ups.
Prioritize
Outreach is prioritized by risk, gap type, and engagement history.
Call
Voxy calls members with a natural, conversational voice — explains what's overdue and why it matters.
Book
Answers questions, handles objections, and books with an in-network provider on the spot.
Persist
Follows up until the gap is closed. Reminders before the appointment. Re-outreach after no-shows.
Measures Voxy Helps Close
Not a mailer. Not a robocall. A real conversation.
Why Voxy
Built for the metrics that matter to you.
Purpose-built for the KPIs that drive health plan performance.
HEDIS
+15–30%
Gap closure rate improvement. Persistent outreach that doesn't stop at the first unanswered call.
Star Ratings
★ 4 → 5
Higher gap closure + better member experience = higher CMS Stars and the revenue bonuses that follow.
Cost
5x Cheaper
Fraction of the cost per interaction. Scale during open enrollment without scaling headcount.
Capacity
Zero Wait
Every call answered on the first ring. Providers and members get answers immediately.
In Production
See what Voxy delivers — today.
Live with a leading Medicare Advantage plan — at scale.
Health Plan / Medicare Advantage
Driving Star Ratings at a leading Medicare Advantage Health Plan.
"Voxy handles our provider eligibility calls and member outreach. We cut average hold times by 80% and closed more care gaps in one quarter than the previous two combined."
— VP of Quality, Medicare Advantage Health Plan
Stop leaving calls unanswered and care gaps open.
See how Voxy can transform your provider services, member engagement, and quality outcomes in a 15-minute demo.