Member search, the FHIR directory API CMS requires, and the analytics that prove your network is adequate — white-labeled to your plan and running on one shared set of data, so nothing drifts out of sync.
Twelve executive views, one source of data.
Everything leadership needs to see the network at a glance — health by county, coverage by specialty, where supply meets demand and where it doesn't, plus formulary and data-quality views. It's the same data that produces your CMS adequacy filing, so the story you tell the board and the one you file with CMS agree.
The numbers that survive the audit.
Coverage scored for every county and specialty, weighted by how Medicare patients actually use care and counted against the 65-plus population. The same scores that drive your executive dashboard export as the network-adequacy file you submit to CMS — one set of numbers, two destinations.
CMS-0057-F, the morning the rule lands.
A DaVinci PDex Plan-Net (R4) implementation conformant to the seven required resources, with Bulk Data Export ($export), SMART Backend Services authentication, and a Sunfire-compatible feed for plans not yet on FHIR — so members keep finding care while the plan migrates.
The directory members actually use.
A faceted, geo-aware search built for the way Medicare members shop for care — by specialty, language, accepting-new-patients, distance, and certifications. White-labeled per plan and rendered on the plan's own subdomain.
Hospitals, clinics, urgent care — all on one map.
Same UX pattern as provider search, with services-offered filters, accreditations, minimum-rating, and provider-to-facility cross-reference so a member who picks a doctor sees the hospital they admit at.
Distance, hours, and inline booking.
Geocoded distance filtering, hours of operation, and inline appointment-booking hooks for partner integrations. Same context provider, same SidebarItems pattern as the rest of the suite.
Drug → tier → covered provider, in one cross-reference.
Pre-seeded with the CMS Federal Reference Formulary and overlay-able with plan-specific custom formularies via AI-validated CSV upload. Members see drug coverage, tier, prior-auth, and the specialists qualified to prescribe it.
Ready when you are
If your provider data is ready, a new white-labeled tenant goes live in about a week. Compliance certification runs alongside it, not as a later phase.
