For payers, health plans & PBMs

Enable your network, move measures, and coordinate the pharmacy benefit

Provider enablement, member outreach, and pharmacy-benefit coordination at plan scale mean millions of touches a year, and quality measures move only when those touches actually connect. Rivvi runs them as governed AI agent programs, with anything higher-risk routed to your people.

  • 40K+
  • Spanish + 30 languages
  • HIPAA BAA
  • SOC 2 Type II
Platform

500K+patients reached

2M+ interactions · 40%+ live answer rate · Figures as of August 2026.

40K+
conversations / month
8
countries live
  • Member outreach that connects

    Reach members across voice, text, and web chat to close gaps, book visits, and drive the measures your contracts are scored on.

  • Provider enablement

    Coordinate with network providers and route members to the right care without adding a phone bank.

  • Compliant and auditable

    TCPA opt-out honored on every path; every interaction documented and org-scoped, HIPAA-eligible and SOC 2 Type II.

What we run for health plans and PBMs

Member outreach at plan scale that actually connects, across voice, text, and web chat in 30+ languages, and moves the measures your contracts are scored on, plus the pharmacy-benefit programs a PBM runs.

  • Stars & HEDIS

    Quality-measure outreach

    Reach members with open gaps to book the screenings, visits, and follow-ups that move HEDIS and Stars, and confirm the ones that already closed.

  • Risk

    Annual visits & HRA completion

    Work the list of members due for their annual wellness visit or health risk assessment, and get them scheduled with an in-network provider.

  • PBM

    Pharmacy-benefit & adherence programs

    Run medication adherence, formulary and prior-authorization follow-ups, and specialty-pharmacy coordination across the benefit, with every outcome written back and higher-risk needs routed to your team.

  • Enablement

    Provider & network coordination

    Route members to the right in-network care and coordinate with network providers, without standing up a phone bank for every campaign.

  • Retention

    Onboarding & renewals

    Welcome new members, walk them through benefits, and reach them ahead of renewal windows so coverage doesn't lapse.

Bring the measures that matter, we'll show outreach that moves them.

Talk to us

See it run on your own patients

Spin up a workspace, sign your BAA, and launch a real program today. No sales call, no integration project.