Healthcare moves at the speed of trust™
Sunny for Medical Plans
AI-powered navigation that guides members to the right site of care, boosts in‑network utilization, and and can unlock millions in avoidable medical spend for health plans.
What Sunny Does for Medical
Guide every member to the right care
Sunny turns member questions about symptoms, coverage, or referrals into booked visits with high‑value, in‑network providers and appropriate sites of care. It simplifies complex benefits and automates scheduling so members avoid unnecessary ER visits, out‑of‑network providers, and high‑cost settings when safer, lower‑cost options are available. At the same time, Sunny’s always‑on benefits support resolves routine “what’s covered?” and “who should I see?” questions, reducing inbound volume to your member services team.
How It Works
Step 1
Understands the member's need
Sunny captures the member’s situation in plain language (symptoms, referral question, follow‑up need) and applies eligibility, network, utilization management, and benefit rules.
Step 2
Surfaces the right options
It recommends in‑network, high‑value providers and care settings with clear guidance on cost, access, and coverage.
Step 3
Books on the member’s behalf
Sunny uses existing office channels (phone, fax, portals) to schedule visits, then sends confirmations and reminders so referrals and recommendations turn into completed encounters.
Why Medical Plans Choose Sunny
Purpose-built for medical cost and quality
