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.