Sold by: RadiantGraph
RadiantGraph is an AI-powered platform unifies claims, pharmacy, clinical, and SDoH data into a single intelligence layer, applies proprietary machine learning to identify high-impact member cohorts, and drives personalized outreach across all channels, including voice AI. The platform delivers measurable improvements in program enrollment, NPS or Star Rating, care-gap closure, and patient risk assessment.
Overview
Major Components of RadiantGraph platform include:
Voice AI Studio Personalized conversational outreach at scale. Automates routine member calls for enrollment, care-gap closure, and Star Ratings while triaging complex cases to human agents or clinical intervention. Each use case undergoes hundreds of hours of clinical validation covering safety, escalation, empathy, and task completion.
Health Data Engine Unifies claims, pharmacy, clinical, demographic, SDoH, and engagement data. Resolves identity, deduplication, format standardization, and feature engineering. Enables AI-based engagement in weeks rather than the quarters or years typical of traditional data platform projects.
Population Explorer Translates unified data into decision-ready insight. Teams can explore populations and subgroups, compare trends, identify emerging risks or access constraints, and form hypotheses that inform downstream segmentation and campaign design.
Smart Cohorts Group members or patients dynamically based on need, readiness, and likely response. Uses claims, clinical, SDoH, behavioral, and engagement signals to assign behavior and context-driven groups rather than locking individuals into broad demographic buckets.
Journey Builder Coordinates AI voice, email, SMS, direct mail, and other channels into multi-step omnichannel journeys with branching, timing rules, and escalation paths based on member preferences and history. Outreach adapts over time rather than forcing every person through the same sequence.
Care Guidance Agents Help patients navigate the healthcare ecosystem with personalized information, health-related Q&A, and referrals to appropriate providers or resources. Analyzes clinical data and user input to streamline intake, improve engagement, and automate routine administrative and triage workflows.
Highlights
- Scale Conversational AI to Improve Customer Satisfaction and Star Ratings: Automate routine member or patient touchpoints securely using specialized voice AI. Collects information at scale to identify areas for improvement. Seamlessly scale enrollment and care-gap closure initiatives by increasing outreach throughput by 40% while maintaining a compassionate, human-grade experience that escalates complex cases to clinical interventions.
- Unified Health Data Engine Live in Weeks: Unify fragmented claims, pharmacy, clinical, demographics, and SDoH data into a single intelligence layer. Resolve critical data issues - including ID resolution, deduplication, and feature engineering - and go live in weeks rather than the quarters or years required by legacy infrastructure.
- Boost Outreach Performance via Dynamic Cohorts: Replace static demographic targeting with real-time behavioral and clinical signal tracking. By automatically matching members to personalized next-best-actions, health plans experience up to a 35% increase in outreach response rates and measurable lifts in Member NPS.
Details
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Dimension | Description | Cost/36 months | Cost savings % |
|---|---|---|---|
Contract | Customized pricing based on components procured | $200,000.00 | 33% |
Dimension | Cost/unit |
|---|---|
Voice AI Studio pricing varies based on number of calls made | $1.00 |
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Support
Vendor support
RadiantGraph support terms, service levels, and dedicated communication channels are established individually within each customer's enterprise contract or Private Offer agreement.
For support inquiries, customers may contact the RadiantGraph Support Team at hello@radiantgraph.com . Customers with an assigned RadiantGraph account or support contact may also use their established customer-specific support channel.
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