Sensentia's enhanced capabilities improve coordination of benefits for the nation’s 11 million individuals dually-eligible for Medicare and Medicaid – often the highest-need populations in either program. Sensentia supports Dual Eligible Special Needs Plans (D-SNPs) and their members by helping them resolve operational challenges for navigating disjointed benefit systems. This elevates standards of coordinated care and reduces costs and fragmentation within the care system. Our AI-powered benefits comparison solution displays side-by-side benefits for the plan’s Customer Service Representatives (CSRs). With this benefits comparison solution, plans can resolve member calls more quickly and accurately, improve their readiness and capacity, and better coordinate and integrate Medicare and Medicaid benefits.

With information spread across potentially thousands of health plans, health insurance companies need to quickly provide their members or providers with accurate health benefits information to avoid coverage confusion and more costly care. Sensentia’s proprietary artificial intelligence technology helps healthcare companies deliver an accurate, transparent, and simple customer experience by translating healthcare plan complexity into clear and meaningful information instantly and with near perfect accuracy. Sensentia technology powers customer service call centers, members and providers across an omni-channel experience. You control the source of truth, and our healthcare AI software returns rich, detailed, comparative responses with near-perfect accuracy. Benefits-related questions are asked and answered through natural language search, forms, or automated dialogue, transforming your structured and unstructured data into actionable intelligence for internal and external stakeholders. Our best-in-class AI technology – deployed via a simple, user-friendly interface or within your own UI – uses natural language search to turn complex data into meaningful information for diverse user groups.

Empower call center agents to effectively schedule in real time across organizations. Triage patients that need additional engagement from referral patterns and greatly reduce talk time.