Sunny for TPAs and Brokers
AI-powered navigation that helps your clients’ members get to the right care faster, keeps spend in network, and differentiates your offering in a crowded market.
Guide every client to a better plan story
Sunny turns member questions about “Where should I go?” and “What is covered?” into booked visits with high value, in network providers and clear explanations of benefits. For TPAs and brokers, that means cleaner utilization, less leakage to out of network care, and a compelling story to bring to employers at renewal. At the same time, Sunny absorbs routine navigation and benefits questions so member services and HR teams handle fewer repetitive calls.
Step 1
Understands the member's need
Sunny listens in plain language to why the member is seeking care and applies eligibility, network, and benefit rules that you configure for each group.
Step 2
Surfaces the right options
It presents in network, high value providers and care settings with clear guidance on cost, access, and coverage, including your preferred partners and programs.
Step 3
Books on the member’s behalf
Sunny contacts provider offices over existing rails such as phone and fax or online portals, secures appointments, and sends confirmations and reminders so referrals turn into completed encounters.
Purpose-built to grow and retain groups
