Who We Serve
Payers & Health Plans
Members often judge their plan upon how easy it is to get answers and receive care. VitalCX strengthens member experience and the operations behind it with cleaner data, faster service, and connected workflows.
Core Challenges
Common challenges
In payer and health plans, member expectations rise while operational complexities heighten.
01
Member service volume
Call volume strains service teams, which can drive long holds and abandonment.
02
Fragmented member data
Disconnected systems make a single member view hard to assemble.
03
Authorization throughput
Prior authorization volume creates bottlenecks that members can feel directly.
04
Care gap closure
Quality and Stars performance depend on reaching members proactively.
05
Limited operational visibility
Leaders lack real-time insight into where service breaks down.
- SCHEDULING
- PRIOR AUTH
- REFERRALS
- ELIGIBILITY
- BILLING
- CONFIRMED
- AUTHORIZED
- SCHEDULED
- CLOSED
- RESOLVED
Solving the Challenge
Solutions from VitalCX, via GraceAI
GraceAI scales member engagement and the operations driving it, closing gaps and surfacing visibility.
AI voice agents
Handle member inquiries and routing in 11 languages, around the clock.
Authorization automation
Speed up prior authorization, surfacing only what needs review.
Care gap outreach
Proactive member outreach that supports quality and Stars.
Service intelligence
Detects patterns and routes work where and when it matters most.
Grace Dashboard
Real-time visibility across member services and operations.
Vitalcx
Core Capabilities
VitalCX supports member-experience and operational workflows that help keep plans performing, from engagement and authorization, to care gap closure.
Metrics and ROI
Performance that leads to healthier outcomes
Higher member service reach and lower abandonment
Faster authorization throughput
Improved care gap closure rates
Real-time visibility across member operations
Let's talk
From member engagement and authorization throughput, to care gap closure and service operations, VitalCX can help bring clarity, consistency, and control to payers and health plans.