The complete provider-directory platform for MA plans.

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.

• Network health snapshot, drillable to county
• Specialty coverage matrix and geographic heatmaps
• Disease prevalence vs. supply, formulary analytics, data-quality scorecards
• Per-customer brand color, logo, and language pack

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.

• Adequate ≤ 10 patients/provider, moderate ≤ 20, critical above — pre-computed, instant render
• Care-pathway weighting: 80% of diabetics see a PCP, not an endocrinologist
• Medicare-adjusted population (CDC PLACES + Census ACS 65+) — not all-age inflation
• HSD table export ready for HPMS upload

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.

• Practitioner, PractitionerRole, Organization, Location, HealthcareService, InsurancePlan, Endpoint
• $export with NDJSON streaming, async polling, signed URLs
• SMART Backend Services: JWT bearer auth, CapabilityStatement, .well-known/smart-configuration
• Sunfire-compatible feed for legacy plans, with FHIR cutover staged behind a flag

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.

• Faceted sidebar: specialty, language, gender, certifications, accepting new patients
• 30-mile radius from ZIP, MongoDB 2dsphere geo-indexed, distance-sorted
• Autocomplete, configurable pagination, EN/ES localization
• Atomic refresh: UUID-tagged batch upload, swap-then-delete — zero downtime

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.

• Filters: services offered, accreditations, minimum rating, distance
• Pre-computed Leaflet density maps for instant render
• Provider-to-facility cross-reference works across modules
• Auto-geocoded via 12-hour Google Maps cron

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.

• Distance filter, auto-geocoded via 12-hour Google Maps cron
• Hours, accepting-walk-ins, services, languages
• Inline appointment-booking hooks for partner integrations
• Consistent UX with facility module — no member learning curve

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.

• Coverage matching: drug → formulary tier → covered-provider eligibility cross-reference
• Pre-seeded CMS Federal Reference Formulary (FRF)
• Plan-specific formularies via GPT-4o-validated CSV upload
• Tier display, prior-auth indicators, step-therapy notices