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InsureLytix

Provider directory, FHIR Plan-Net, and network adequacy analytics for U.S. Medicare Advantage plans. CMS-compliant by default.

InsureLytix Inc. · Dover, Delaware

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  • Provider search
  • FHIR Plan-Net API
  • Network gap analytics
  • All modules

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  • All solutions

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  • FHIR Plan-Net checklist

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HIPAA-aligned CMS-0057-F FHIR R4 Plan-Net Section 508 / ADA
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Formulary & drug search

Formulary & drug search — 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.

01

Why this matters to your plan.

Whether a drug is covered, and who can prescribe it, is one of the most common and most mishandled member questions. Answering it inside the directory, with the right provider attached, prevents a chain of confused calls and surprise prior-authorization denials.

02

What members get.

A drug lookup that shows coverage, tier, prior-authorization and step-therapy rules, and the providers qualified to prescribe — pre-loaded with the CMS reference formulary and extendable with your plan's own, validated on upload.

Related modules

Provider search

The directory members actually use.

FHIR Plan-Net API

CMS-0057-F, the morning the rule lands.

Network gap analytics

The numbers that survive the audit.

Ready when you are

Bring this platform to your plan.

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.

Book a 30-min demoRun the free readiness check