Powerful data, cutting-edge technology, analytics, and AI

We use comprehensive data, cutting-edge technology, analytics, and AI to solve for important health care issues and uncover new opportunities to work with our provider network to proactively manage members’ whole health.

Generative AI tool for customer service

To help transform customer service interactions, IBX has designed a cutting-edge generative AI pilot tool. It provides customer service representatives with clear, conversational, and easy-to-understand answers to members’ questions. This reduces the number of steps that representatives must take to access critical information, improving efficiency and increasing the percentage of customers who received resolutions to their questions in one call.

Epic Payer Platform

IBX participates in the Epic Payer Platform to streamline data exchange with health systems and providers in its network, close gaps in care, and improve health outcomes for members. Epic Payer Platform is part of Epic, a global healthcare technology company. The platform helps facilitate data exchange and workflow processes for providers and health plans, giving them the insights they need to make care decisions while also saving them time.

HealthShare Exchange

Our region has a large concentration of health systems generating electronic health records, and HealthShare Exchange (HSX) provides a way for health systems and health insurers to communicate more efficiently with each other. HSX allows medical centers, insurers, and practice offices to share clinical records to make patient care more informed.

Social Barrier Index

IBX has an in-house, conceptual model of a Social Determinants of Health (SDOH). It provides guidance to our Health Coaches to screen members who have identified barriers to health care and allows Health Coaches to address those barriers that may impact a member.

Provider Engagement, Analytics & Reporting (PEAR)

The Provider Engagement, Analytics & Reporting (PEAR) portal offers our participating providers* a single point of entry to access information for patients who are members. It connects providers quickly and securely to the plan information they need to deliver high-quality care. Through the various applications within the PEAR portal, providers can easily access the clinical and financial information that is specific to their provider organization and plan contracts.

iStrat

iStrat is a risk stratification engine and data repository that helps IBX identify and engage members in their health care experience. It provides in-depth data and analytics from numerous sources. The data is then used to match members with targeted outreach and support designed to help them achieve better health outcomes. Outreach includes:

• Digital and phone messaging
• Email and direct mail
• Individual support from Registered Nurse Health Coaches along with a multi-specialty clinical care team

Learn more

News and commentary about powerful data, cutting-edge technology, analytics, and AI at IBX:

• Independence Blue Cross harnesses the power of data science to address health care challenges
• IBX executive highlights technology’s role in health care accessibility at ViVE conference