For payers, health plans & PBMs
Enable your network and move the measures.
Member outreach and pharmacy-benefit coordination at plan scale, with higher-risk work 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
The layer
One outreach layer, written back.
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 compliant and SOC 2 Type II.
Programs
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.
Questions
What payers & pbms teams ask first
What does Rivvi do for health plans and PBMs?
Rivvi runs member outreach for Stars, HEDIS, annual visits, and pharmacy-benefit programs across voice, text, and web chat, and routes higher-risk work to your people.
Can it work provider networks, not just members?
Yes. Rivvi coordinates with in-network providers and routes members to the right care without standing up a phone bank for every campaign.
How is outreach kept compliant?
TCPA opt-out is honored on every path. Every interaction is documented and org-scoped under a HIPAA BAA and SOC 2 Type II controls.
More on how the rules bind: Security and compliance