Einstein Copilot: Health Actions is coming, the trusted healthcare AI assistant.

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Build trusted member relationships on the #1 AI CRM.

Curate trusted experiences for health insurers by connecting and automating business processes from quote to care. Collaborate across the enterprise on a member-first healthcare administration software solution.

Trailblazers are improving healthcare with Salesforce.

Streamline member journeys from enrollment through ongoing care management.

Scale contact center experiences.

Leverage the power of a single, connected system to quickly grow and manage your network of quality providers, improve collaboration, and make member-patient connections.

Improve agent productivity with best-practice tools like caller validation, relationship mapping, interaction tracking, call wrap-up, and more.

A portal that verifies patient information – shows name, last 4 digits of social security number, birth date, member ID, and zipcode.

Easily audit caller interactions to ensure compliance and maintain a high standard of quality across the spectrum of digital channels.

Create personalized inbound and outbound interactions with real-time 360-degree views that offer relevant member, provider, and third-party partner information.

A portal that verifies patient information – shows name, last 4 digits of social security number, birth date, member ID, and zipcode.

Strengthen provider networks.

Leverage the power of a single, connected system to quickly grow and manage your network of quality providers, improve collaboration, and make member-patient connections.

Integrate disparate practitioner databases to ensure accuracy, improve contract reporting efficiency, and easily share relevant data.

A performance dashboard shows a new scheduled appointment and a received document portal.

Engage with new and existing providers using targeted campaigns, then unlock the power of digitized credentialing processes to onboard faster than ever before.

A dashboard shows a prompt to add contacts to campaigns, and displays a recommended journey.

Enable providers to see the status of their applications. Conveniently manage profiles, member data, inquiries, and care processes – all with intuitive, easy-to-use portals to ensure better care experiences and outcomes.

A personalized home page for providers to see the status of their aplication and conveniently manage their data.
A performance dashboard shows a new scheduled appointment and a received document portal.
A dashboard shows a prompt to add contacts to campaigns, and displays a recommended journey.
A personalized home page for providers to see the status of their aplication and conveniently manage their data.

Promote integrated care management.

Empower care teams to achieve cost-effective outcomes and experiences.

Conduct comprehensive medication reviews, reconcile therapies, detect drug-to-drug interactions, and document discrepancies and recommendations.

A dashboard shows a comprehensive medical review and medical distribution.

Unify sources of member health data like claims, labs, pharmacy, EMR, assessments, and social determinants to drive stratification insights.

A care plan wizard dashboard with a pop-up to add social determinants of health.

Calculate unified health scores, identify at-risk members, and enroll them in care programs to address their needs and improve adherence.

An engagement overview and a pop-up of customer details including their journey.
A dashboard shows a comprehensive medical review and medical distribution.
A care plan wizard dashboard with a pop-up to add social determinants of health.
An engagement overview and a pop-up of customer details including their journey.

Streamline benefit sales and administration.

Transform quoting, enrollment, benefits management, and renewals to seamlessly convert and retain members.

Accelerate your leads and relationships with actionable data and predictive AI for small and large groups.

A user interface that explains benefits and administration.

Save your sales team time with automated emails and next best actions that leverage account insights.

A group sales dashboard shows automatic generation of email by Einstein assistant.

Provide a seamless enrollment experience for your employee admins and brokers with options to quickly filter, compare, and check out.

An interface shows medical plan shopping for health insurance with selected plans, available plans, and best match.
A user interface that explains benefits and administration.
A group sales dashboard shows automatic generation of email by Einstein assistant.
An interface shows medical plan shopping for health insurance with selected plans, available plans, and best match.

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Salesforce for Payers FAQ

Health Cloud is a healthcare payer administration software that allows health plans to influence better health decisions, improve the member and broker experience, and reduce the cost of care through collaboration. Learn more

Payers need a single source of truth for all their member, broker, and provider data. Rather than siloed point solutions, it is crucial to have a consolidated view of everything on a connected platform. This drives productivity and optimal services and outcomes.

Health Cloud advances the ability of healthcare systems to drive stronger member relationships with out-of-the-box functionality. With it, organizations can manage the entire member journey from prospect to enrollment, provider selection, benefits administration, service, care support, billing, and more.

Look for a solution architected for flexibility with tools that help you deliver innovation quickly. Consider the total cost of ownership of any healthcare solution including the ability to integrate with other digital and third-party solutions, uptime, access to advanced features, ongoing support, and implementation.