Ribbon for Health Plans

Power smarter health plan operations with more accurate provider data

A thin black line intersecting to make the shape of an infinity symbol, with small x's at either end. Lime green squares behind as accents

Ribbon gives health plans the tools and infrastructure to automate provider data workflows and improve provider data integrity – for more accurate, complete, and comprehensive data.

A partnership with Ribbon unlocks lower operational costs, better member experiences, and stronger compliance.

Get in Touch

47+

points

Provider directory data accuracy improvement with Ribbon, customer benchmark

Game-changing accuracy impact in <30 days

Ribbon unlocked a 47 point improvement in provider directory data accuracy in <30 days. In a full partnership, Ribbon unlocks a path to 90%+ provider directory accuracy in 6 months.

Ribbon delivers business value and cost-savings

Estimated $.20-$.30 PMPM in operational cost-savings with Ribbon based
on real customer benchmarks and case studies

Save team time on data management

Time savings on data management via data processing automation with Ribbon

Build better member experiences

Reduction in member support tickets related to provider data errors

Support CMS compliance requirements

Turnaround time on
data refreshes

Discover how Ribbon makes quick work of complex provider data

Expertise across the payer landscape

Ribbon brings extensive experience across various plan types, and our flexible technology adapts to meet the unique operational and regulatory requirements of your business and markets

Medicare

Prepare for CMS directory accuracy audits, deliver exceptional member experiences, and support STAR ratings with Ribbon. Our AI-powered platform rapidly improves data accuracy, reducing the risk of CMS fines and scrutiny while equipping provider operations teams to work more efficiently. With comprehensive, accurate provider data, your beneficiaries can effortlessly find the right care from your directory with confidence and ease.

Medicaid

Support compliance with Medicaid provider data requirements with Ribbon. Our AI-powered platform improves directory accuracy and completeness while reducing the operational burden of managing provider data. Ribbon is highly configurable, ensuring you meet specific state requirements and local nuances.

Group

Sharpen your competitive advantage by creating best-in-class member experiences with more accurate provider data. Ribbon’s AI-powered platform helps eliminate frustrations caused by inaccurate provider information, such as incorrect contact details, misdirected care, or delays in claims processing. With better provider data, you can reduce administrative burdens, minimize errors and member complaints, and offer a seamless, efficient experience for your members and your organization.

ACA/Marketplace

Build five-star member experiences with Ribbon by ensuring current and prospective members have accurate, up-to-date provider information. With reliable data at their fingertips, you can enhance member satisfaction, improve retention, and attract new members. Ribbon optimizes data accuracy, reduces administrative burdens, and supports compliance with industry standards—all while elevating the overall member experience.

Why Ribbon is the right choice for your provider data needs

Enterprise-Ready Platform:
Platform designed for flexible deployments that integrate seamlessly with health plan existing IT systems and meet stringent security requirements including SOC Type I, SOC Type II, and HIPAA certifications.
Grounded in Advanced Data Science:
Leverage Ribbon’s graph-based data model for maximum data processing performance and finely tuned machine-learning Accuracy Scoring models with 95% predictive fidelity.
Exceptional Enterprise Partnership:
Proven partnership model with hands-on support from Ribbon seasoned provider data experts and technologists. Ribbon teams have a 95% customer satisfaction for support from current customers.

“The teams from the other companies were not even close to Ribbon… The Ribbon team really knows what they’re doing.”

– Senior Director, Enterprise Architecture; National Health Plan Customer