Medesto equips health plans—particularly in government markets—with actionable, automated intelligence to drive member engagement, clinical oversight, and quality measure performance.
Structured clinical data from the point of care flows directly to payers through FHIR R4 APIs. Your review team gets the clinical context they need without chasing documentation, enabling faster and better-informed decisions.
Structured clinical data from the point of care matches against your coverage criteria in real time. Reduces review time, eliminates fax-based workflows, and gives your team the clinical context they need without chasing documentation.
Direct EHR integration for seamless provider communication and member support at appropriate literacy levels. FHIR R4 APIs and Da Vinci implementation guides ensure compliance with CMS interoperability requirements.
Real-time communication channels between payers and providers replace phone queues and fax machines. Status updates, additional information requests, and approval notifications flow through structured channels that both sides can track.
Connect with our team to see how Medesto fits your workflow.