Match to the most appropriate specialistScope, availability, and in-network data prevent referrals that bounce, stall, and delay visits that become after-hours care.
Maximize the value of your existing provider network
You built a great roster. Don't let the wrong game-time decision undermine it.
Reduce avoidable, costly access issuesRefer to lower-cost specialists and prevent access issues that lead to high-cost care.
Improve network design and managementGain visibility into cost, quality, and operational specialist data and access intelligence.
Enhance member experience and retentionDeliver CAHPS-sensitive member experiences and specialist access to gain your members' trust.
Stop access issues before they become avoidable expenses
Beeline provides insights so members are routed correctly and obstacles are avoided.
Optimize for cost and qualityCost and quality data are truly cost-saving when paired with the above specialist insights and the member's referral reason.
Submit clean referrals onceClinic-specific referral requirements reduce rework for staff making referrals and repeated prior auth reviews for UM team.
Use the network you already have better
Beeline reduces avoidable costs in three ways.
Bring nuanced insights to your network
Beeline shows which provider relationships are working, which markets have access gaps, and where network teams should intervene to improve member access.
Specialty care access intelligence
Cost Discrepancy
Large cost discrepancy for physical therapy clinics in San Diego County. Surface cost data in the directory to steer referrals to the lower-cost clinics, when clinically appropriate.
Surgical Access Gap
No in-network physician performing lumpectomies within a 1-hour drive of ZIP code 92562.
Availability Warning
Gastroenterology clinics in Orange County are averaging 48 days to next available appointment.
Closed Location
The Corona location of Dermatology Care has closed, but is still listed in the directory. Members referred there have to be seen in Murrieta, 45min away and booking 3 months out.
Prior Auth Rework
25% of ophthalmology clinics have unique CPT code requirements not listed in the directory that lead to repeat prior auth and delays.
Aggregate signals reveal where the network is actually usable or lacking.Beeline converts clinic-level access, scope, cost, and referral data into market-level flags for network teams.
Turn network design into a competitive advantage.Use real specialty access intelligence to guide provider relations, network development, and market strategy.
Provider relationsBring clinic-level evidence causing access friction into conversations with partners.
Network strategyPrioritize capacity gaps, high-cost variation, and specialty access risks by specialty and geography.
Improve member experience with Beeline
Referrals are the most common point of avoidable friction for seniors.
Getting Appointments and Care QuicklyUse availability data to refer to clinics that can see members sooner.
Getting Needed CareUse scope data to pick clinically-appropriate specialists with shorter wait times.
Complaints about the PlanReduce grievances by preventing the referral issues and access gaps that become complaints.
Member RetentionBetter access to specialty care creates a moment of trust for members and reduces attrition.
Rating of Health PlanMembers experience the plan when they need care. Improved access leads to improved rating.
Rating of Health Care QualityImproved specialist access supports perceived and actual quality.
Health Plan Quality ImprovementShow year-one operational improvement through measurable access fixes.
Quality Bonus PaymentsCAHPS makes up 23% of Star ratings, where an improvement translates directly to increased revenue.
Are you looking to reduce costs while improving access?
Book a demo for your network.