Payers, health plans and PBMs

Enable the network.Move the measures.

Member outreach and pharmacy-benefit coordination at plan scale, with higher-risk work routed to your people.

Talk to usEnterprise contract through sales.
PLATFORM
2M+
interactions
CALLS
40%+
live answer rate
REACH
8
countries
LANGUAGES
31
Spanish and 30 more
Platform figures as of August 2026. Not attributed to any one customer.
The layer

One outreach layer, written back.

01

Member outreach that connects

Voice, text, and web chat in Spanish and 30 more languages, to close gaps and book visits.

02

Provider enablement

It coordinates with network providers and routes members to the right care without a phone bank.

03

Compliant and auditable

TCPA opt-out on every path, and every interaction documented and scoped to the plan.

Programs

What we run for health plans and PBMs.

Each program runs on the same member memory and the same audit trail.

STARS · HEDIS01

Quality measure outreach

It reaches members with open gaps to book the screenings and visits that move HEDIS and Stars.

RISK02

Annual visits and HRA completion

It works the list of members due for a wellness visit or a health risk assessment and schedules them in network.

PBM03

Pharmacy benefit and adherence

Adherence, formulary, and prior authorization follow-ups, with higher-risk needs routed to your team.

ENABLEMENT04

Provider and network coordination

It routes members to in-network care and coordinates with provider offices.

RETENTION05

Onboarding and renewals

It welcomes new members, walks them through benefits, and reaches them before renewal windows.

Ask it

Ask the member file.

Your quality and pharmacy benefit analysts drop the member file in and ask. It is the same memory the outreach runs on, and permissions follow the role.

Asked by a quality analyst

Rivvimember-file-q3.csv

Statin use has the most open gaps in the member file this quarter.

Statin use1,240
Breast screening860
Eye exam610
Colorectal420
Compliance

HIPAA. SOC 2 Type II. GDPR.

HIPAASOC 2 Type IIGDPR
TCPAOpt-out is honored on every path. Calling windows and the DNC list fail closed.
AuditConsent and policy changes are logged for seven years, and every agent action that touches PHI is logged with who, what, and when.
ScopeEvery interaction is scoped to your organization. Permissions follow the role.
Security and compliance
Questions

What payers and PBMs ask first

More on how the rules bind: Security and compliance

It runs member outreach and pharmacy-benefit programs by voice, text, and web chat, and records every outcome.

Yes. It coordinates with provider offices and routes members to in-network care.

TCPA windows and the DNC list fail closed on dispatch, opt-out is honored on every path, and every action is logged.

Try it on your own data today.

Free to start. Most teams are using it the same day.