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Drive members to high-value care
Steer members toward high-performing primary care, specialists, and facilities aligned with value-based arrangements and quality goals.
Healthcare moves at the speed of trust®
Sunny for Health Plans
For payers that need network integrity, member navigation, benefit verification, and steerage at scale.
What Sunny Does for Health Plans
Guide every member to the right care
Sunny turns member questions about symptoms, coverage, or referrals into booked visits with high-value, in-network providers and appropriate sites of care. It simplifies complex benefits and automates scheduling so members avoid unnecessary ER visits, out-of-network providers, and high-cost settings when safer, lower-cost options are available. At the same time, Sunny's always-on benefits support resolves routine "what's covered?" and "who should I see?" questions, reducing inbound volume to your member services team.
How It Works
From first question to confirmed visit
- 1 Step 1
Understands the member's need
Sunny captures the member's situation in plain language (symptoms, referral question, follow-up need) and applies eligibility, network, utilization management, and benefit rules.
- 2 Step 2
Surfaces the right options
It recommends in-network, high-value providers and care settings with clear guidance on cost, access, and coverage.
- 3 Step 3
Books on the member's behalf
Sunny uses existing office channels (phone, fax, portals) to schedule visits, then sends confirmations and reminders so referrals and recommendations turn into completed encounters.
Why Health Plans Choose Sunny
Purpose-built for cost and quality
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Keep care in-network
Make in-network providers and preferred partners the easiest path, reducing leakage and out-of-network surprise bills.
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Clarify complex benefits
Explain deductibles, coinsurance, prior auth, referrals, and site-of-care rules in simple language, deflecting routine calls to member services.
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Close the loop with scheduling
Move beyond directories and nurse advice by securing appointments and handling reminders, rescheduling, and cancellations.
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Built for privacy and security
Designed with strong protections and compliance practices so members can discuss sensitive health and cost questions with confidence.
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Reduce avoidable high-acuity use
Help members choose urgent care, virtual care, or primary care instead of non-emergent ER visits when clinically appropriate.
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