Who we serve and how it works

Built around the business you write.

Health plans, life and annuity carriers, accident and health carriers. Each starts in a different place. Choose yours and we will walk you through what changes, how it works, and where to begin.

Three lines of business, Healthcare, Life and Accident & Health, flow into one platform with three products: Orion, Risk Radar and EternaOrionRisk RadarEterna

What changes

Pay the right claims. Catch risk early. Keep members engaged.

A provider network with one pattern flagged by Orion, beside a population with enrolled members in green and a portion of them ringed in gold, the ones who received an intervention Orion Provider patterns Eterna Risk Radar Enrolled Intervention

Products we support

  • Medicare Supplement
  • Medicare Advantage
  • Commercial
  • Medicaid
  • Value-based care
  • Self-insured

How it works

  1. Legacy, cloud and in-house claims systems all plug into one Orion through a single connector, and Orion flags a claim before paymentOrion

    Switch on Orion

    Orion flags fraud, waste and abuse on every claim, on whatever claims system you run.

  2. Renewal, the EOB, the member portal and the call centre each reach a member, who opens Eterna on their phoneEterna

    Offer Eterna to members

    A companion for members and the people who care for them. Offer it at renewal, on the EOB, or wherever you like.

  3. An enrolled member’s clinical context flows from Eterna, on the member’s phone, to Orion, where a green line of context sits beside the flagged claimOrion

    Context when a claim comes

    For an enrolled member, Eterna adds the clinical picture beside the claim, so a flag is easier to judge.

  4. Risk Radar surfaces risk building across enrolled members early, and beside it the claims curve bends down where prevention took holdRisk Radar

    See risk building, early

    Risk Radar shows what is building across enrolled members, and prevention keeps claims down.

Getting startedHealthcareChange line

Start with one need. Add more when you are ready.

Most of the value is in claims you have already paid. Orion starts there, with nothing needed from members.

  1. Tell us about your portfolio and what matters most.

  2. We come back with a plan: your own claims first, then as wide as you like.

  3. Implementation takes days or weeks, not months.

Any claims systemOrion works with the one you already have.
Days or weeks to implementNot months.

De-identified groups. Only data members have agreed to share. Built on trust