Product

Capsci makes health benefits simple for our employees.

Your Brand Here

Capsci is configured and branded to meet the needs of each employer. No two employers have the exact same offerings or data sources, but all employers want the exact same thing – to engage employees and help them use their benefits well. Employees use Capsci to get the information they need the way they want it on the device they always have with them.

Core Services

ID Cards

Core Service

ID Cards

No more lost or out-of-date ID cards, Capsci holds ID cards for each plan an employee is enrolled in. Employees can easily fax an ID card directly from Capsci.

Financial Information

Core Service

Financial Information

Show employees where they stand in terms of reaching their deductible and out-of-pocket maximums for the year.

Provider Directory

Core Service

Provider Directory

Give employees one directory loaded with all networks, pharmacies and contracted providers relevant to them (medical, dental, vision, alternative, etc). The results are location-based and can be viewed in map or list format.

Plan Information

Core Service

Employees need general information about their coverage as well as details about copays, coinsurance, deductibles and out-of-pocket maximums. Capsci provides quick and easy access to personalized coverage information.

Self Support

Core Service

Employees like helping themselves, but sometimes they need to know who to contact. Capsci can quickly get the right resource on the line whether it’s a prior authorization contact at an organization performing medical utilization or a claims contact for a dental insurance carrier.

Advanced Services

Telehealth

Telehealth

Advanced Service

Telehealth saves money, reduces absenteeism, and is available 24/7 – keeping employees and dependents out of the ER. With Capsci your employees don’t need a separate login or lengthy process to launch a telehealth visit – they can start from their app.

Preferred & tiered
networks

Advanced Service

Do certain providers offer your employees a better cost of care? Make it easy for your employees to choose preferred providers with financial cues built into the provider network results that highlight these cost differentials.

Care Workflows

Advanced Service

Capsci care workflows help employees through actions and decisions ranging from choosing a new primary care provider to finding a specialist to look at a bad knee.

Care workflows can disrupt the habitual “autopilot” behavior by reaching employees while they are considering providers and highlighting those with enhanced value and convenience.

Targeted Health Programs

Core Service

Targeted Health Programs

You don’t want to reach all your employees and dependents all of the time. Sometimes you need to reach a specific group with alerts, reminders or invitations regarding screening, chronic disease management and other health matters. Reach segments of your workforce and deliver messages and opt-in health initiatives with the Capsci app.

Security

Capsci’s platform engineers are experienced at building health data systems that comply with the most stringent security and privacy standards, including HIPAA, HITECH and FDA. The full data lifecycle is protected with strong encryption, and member onboarding is NIST Level 3-compliant with multifactor authentication. The entire Capsci system is dynamically audited and reviewed by a highly respected third party.

Technology

The backbone of Capsci’s platform is a service-oriented architecture running on redundant, SOC 2 Level 2 certified, geographically-dispersed systems. Capsci’s mobile apps are native, not web-based, and are built with dynamic caching at the individual user level. This makes them fast, and most features are available without a network connection.

Information

Data cleanup is a core competency for Capsci. Capsci accepts standard and non-standard sets of member, provider, financial, and claims data and accommodates both batch processing and real-time data streaming. Capsci has developed an extensive toolset – both proprietary and third party – for data cleanup, verification, validation and enrichment.