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Guide members to care

National reach.
A personal path to care.

Finding a specialist is only the beginning. HealthMe helps members understand their options, connect with the right practice, and get to their appointment—with navigators who follow through and AI that keeps the work moving.

Discuss member navigation

Built for this moment

A clear next step. Someone to help take it.

A referral should lead to care, not another round of phone calls. HealthMe connects the network, the practice, and the member around one coordinated journey.

01

Find care that fits

CareNav Connect combines national network visibility, hyper-local search, and AI-assisted discovery. Navigators review providers, upfront prices, and the member’s needs together.

02

Turn a referral into an appointment

Help with referrals, scheduling, and pre-op coordination keeps the next step moving. Agent Dora supports the administrative work so navigators can focus on members.

03

Keep the person in the loop

Members get a clear point of contact for questions, preparation, and follow-up. Nurses and care navigators support the journey while treating clinicians make clinical decisions with the member.

How it works

From “Where do I start?” to “You’re scheduled.”

One connected process, with support at each handoff.

A person to guide the connectionA member connects with a care navigator, who searches the network and helps refer them to an appropriate local practice.MemberCarenavigatorLocal practice
Human guidance. A network within reach.

  1. Listen and understand

    Start with the member’s care need, location, referral, and available benefit. Confirm eligibility and explain the next step.

  2. Find the right options

    Review local specialists, available care packages, and known prices. Help the member understand what is included and any expected out-of-pocket cost.

  3. Make the connection

    Coordinate the referral, appointment, and required information with the practice. Agent Dora helps move scheduling and pre-op tasks forward.

  4. Stay connected through care

    Keep the member informed and help coordinate additional steps, from imaging and therapy to surgery and follow-up when appropriate.

Navigation partner

“HealthMe has been instrumental as we've scaled our care navigation team. Our navigators can find independent specialists, see the price upfront, and get members scheduled without the usual back-and-forth. When we bring on a new employer group, we're not starting from scratch. The network, the pricing, and the workflow are already there. That makes us a stronger partner to every employer we serve.”

Katie WildmanCEO, Patient Choice Health
See how navigators use Agent Dora

Putting it into practice

Your navigation team, or ours.

Already have a navigation partner? Give them access to HealthMe’s network and referral tools. Need member support? Build a program with HealthMe’s care navigation team. Either way, we align with your benefits partners so members know exactly where to turn.

What comes together

  • CareNav Connect for existing navigation teams
  • HealthMe navigation support for your members
  • Co-branded guides and a clear point of contact
  • Coordination with your TPA and other benefits partners

A few more details

Your questions, answered.

Can we work with an existing navigation team?

Yes. HealthMe can connect existing navigators with network search and referral workflows, and can also provide navigation support as part of the employer program.

Does the navigator replace the treating clinician?

No. Navigation helps members access care and coordinate the next steps. Clinical decisions are made by the member and their treating clinicians.

What if a member needs care outside their immediate area?

HealthMe reviews available options with the member and program team. Any travel coordination depends on the group’s benefit and program terms.

Explore more

Find the next connection.

For employers, benefits partners & care navigators

CareNav Connect

Connect members to specialty care with CareNav Connect’s national network, local and AI-assisted search, referral tools, human navigation, and Agent Dora coordination support.

Explore product For self-funded employers & benefits advisors

Manage specialty care costs

Assess direct specialty care opportunities with a network fit review, claims analysis, upfront bundle prices, and member navigation for self-funded employers.

Explore solution For employers, advisors, TPAs & participating practices

Activate direct contracts

Turn direct provider agreements into usable care programs with private networks, eligibility and referral workflows, scheduling, claims, and payment coordination.

Explore solution

A better way forward

Make your specialty benefit easier to use.

Let’s connect your member experience with a practical navigation workflow.

Discuss member navigation