How Outfox Health guides employees to high quality, cost-effective care

Outfox Health is your AI copilot for health benefits medical navigation. Employees receive instant, 24/7 answers about insurance coverage and benefits, so they no longer need to follow up with HR or wait on hold with call centers. Plus, it eliminates the need to pay extra for companies that specialize in medical navigation.

We develop a custom LLM for your company based on your health benefits package. We collect and structure data from your benefits policies and then enhance it with national data on healthcare service prices across providers.

Outfox doesn’t require any PHI to get started. Instead, employers only need to provide publicly available benefit design information, which makes the setup process simple and compliant with privacy regulations.

Along with medical policies, Outfox supports supplementary coverage like dental, vision, telemedicine, and fertility benefits.

Outfox helps employees find and choose centers of excellence using its provider recommendation algorithm. This way, it guides them to high-quality, cost-effective healthcare options.

Outfox predicts billing codes for specific healthcare queries, so users can compare care options based on insurance-negotiated prices. As a result, this lowers costs for both employees and employers, streamlining medical navigation.

Employers save on costs while improving employee understanding and use of benefits, resulting in higher satisfaction compared to traditional call centers.

Plus, Outfox Health gives businesses a competitive advantage by offering a superior benefits experience and managing costs effectively, helping attract and retain top talent.

Traditional medical navigation often involves time-consuming phone calls, long wait times, and sometimes confusing information. Outfox Health‘s AI copilot represents the next generation of care navigation, offering instantaneous, accurate, and personalized guidance.

1. 24/7 Availability: Unlike traditional call centers, Outfox is available round-the-clock, ensuring employees can access information whenever they need it.
2. Consistency and Accuracy: AI eliminates human error and consistently provides up-to-date information on the latest benefit policies and healthcare data.
3. Scalability: As companies grow, their care navigation needs can be easily scaled without needing additional human resources.
4. Cost-Effectiveness: Outfox reduces the need for expensive call centers and third-party services, making it a more affordable solution for employers.

1. Reduced Wait Times: Employees get instant answers, eliminating the long hold times typical of traditional call centers.
2. Increased Accuracy: The AI’s ability to process vast amounts of data ensures that employees receive the most up-to-date and accurate information for their medical navigation needs.
3. Improved Decision-Making: With access to comprehensive information and cost comparisons, employees can make more informed decisions about their healthcare, a key aspect of effective medical navigation.

• HIPAA Compliance: The system delivers top care navigation while following strict HIPAA regulations, without needing PHI.
• Data Minimization: Outfox focuses on benefit design data, not personal health details, ensuring privacy while delivering strong navigation.
• Secure Infrastructure: All data is stored and processed using state-of-the-art security measures.