Reduce unnecessary care.
Control costs.
Medroid is an AI-powered triage and care-routing platform designed for scale. We help insurers and plans guide members to the right level of care, earlier—reducing avoidable ER utilization.
The Problem Payers Face
Care is accessed late, expensively, and often unnecessarily. Members are unsure where to go, leading to high-cost utilization driven by low-acuity presentations.
Avoidable ED Utilization
Emergency Departments used for non-emergency conditions due to lack of guidance.
Fragmented Front Doors
Poor engagement with digital tools leaves members guessing until the claim is incurred.
Rising MLR
The result is avoidable spend and poor member experience.
Intelligent clinical triage at the front door of care.
Medroid sits before the claim—at the moment a member seeks help. Using clinically validated AI, we route members to the appropriate setting, escalating safely when required.
Core Capabilities for Payers
Designed to be conservative where risk exists and efficient where low acuity is identified.
AI-Powered Clinical Triage
Evaluates member symptoms in real-time to assign care pathways: self-care, PCP, urgent care, or telehealth.
A&E / ER Deflection
Identifies non-emergent presentations and redirects members to virtual care or scheduling, reducing high-cost claims.
Care Navigation & Booking
Medroid doesn't just advise—it executes. Book members into in-network providers or connect to telehealth immediately.
White-Label Experience
Fully white-labelled for the payer or employer. Own the digital front door and improve brand trust.
Risk Stratification
Insights into symptom trends and high-risk cohorts for earlier intervention and smarter population health.
Enterprise APIs
Integrates with member apps, care navigation platforms, claims systems, and provider networks via API-first modules.
Quantified Impact
Real-world cost avoidance for US Payers.
Mid-Size Health Plan
Self-Insured Employer
Payer-Specific ROI Calculator
Estimate pre-claim cost avoidance based on your population.
Figures based on industry benchmarks: $1,300/ER visit vs $120/redirected care. View methodology.
Why Medroid is Different
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Clinical reasoning, not questionnaires
Real-time symptom analysis rather than static decision trees.
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Care execution, not just advice
We book the appointment. We connect the call. We close the loop.
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Payer Economics
Designed for pre-claim cost avoidance, not consumer novelty.
Deployment Options
Enterprise & White-Label Pricing
Pricing is based on covered lives, deployment model, and API volume. Contact us for a custom quote.
Contact Enterprise Sales