PAGER HEALTH℠ NAVIGATOR
Smarter navigation.
Healthier outcomes.
Pager Health℠ Navigator is our next-generation care navigation solution that delivers a seamless, AI-powered, human assisted experience across benefits navigation, provider search and scheduling, digital health solutions, clinical programs and care – all in a single, omnichannel conversation.
It’s designed to guide members to the right care, at the right time – without adding friction or requiring a rip-and-replace of existing systems.
25%
lower care cost
50%+
call deflection
3.3x
projected ROI
Next-generation care navigation,
powered by AI and backed by clinicians
Guide members to the right care, at the right time – across benefits, providers, and digital health programs – all within one seamless experience.
Why? Healthcare is fragmented. Navigator brings it together.
Members are overwhelmed. Point solutions are disconnected. Health plans face rising costs and underused benefits. Pager Health℠ Navigator solves this by unifying the care journey, simplifying access, and improving outcomes – without disrupting existing infrastructure.
What is Pager Health℠ Navigator?
One platform. Every member need.
Unified navigation:
One experience for benefits, providers, point solutions, and clinical support
Omnichannel access:
Secure chat, SMS, voice, or video
Proactive engagement:
Outreach to activate preventive and condition-specific programs
AI first, human always:
Smart automation backed by licensed RNs (URAC accredited)
Seamless integration:
Connects with existing plan systems and partner solutions
Smarter tools for better health
AI-powered symptom triage and routing
In-network provider finder with scheduling assistance
Benefit and coverage guidance personalized to the member
Digital health program matching (behavioral, chronic, episodic)
Aftercare and follow-up to drive outcomes
24/7 Nurse Navigation and escalation
93%
use of high-performing providers
90%
health issues resolved after initial interaction with nurse
128%
increase in care
gap closure
AI digital self-service tools
Our triage and navigation solutions utilize an array of AI-driven tools to assist in member self-service and improve care team workflow efficiencies. These AI-powered capabilities include:
Member facing agents
Welcome/FAQ bots
AI-powered agents understand member needs through natural conversation and quickly activates the right skill, like onboarding or benefits support. Powered by Google Dialog flow, it streamlines workflows and delivers fast, accurate answers.
Provider search and scheduling
AI matches members with high-quality, in-network providers based on their needs, preferences, and location. It simplifies the process with conversational search and guided scheduling – helping members find the right care faster and reducing friction in accessing appointments.
System checker
Our system triages 695 medical conditions, 1,290 symptoms, and 138 risk factors, using evidence-based algorithms and clinically validated protocols. Members can chat with a caregiver for triage assistance; urgent assessments are expedited to emergency personnel.
Behavioral health agent
AI-powered and plan‑native, the Behavioral Health Agent uses PHQ‑2, PHQ‑9, and GAD‑7 screening to guide members to the right in‑network, vendor, or internal behavioral health resource. It delivers fast, vendor‑neutral, personalized navigation for needs ranging from anxiety and stress to OCD, substance use, and eating disorders.
Emergency intent
Quickly detects critical situations and guides members to the right care – fast. Helps reduce unnecessary ER visits while keeping urgent issues safely prioritized.
Care team support
Sentiment analysis
Captures and scores emotional cues during member interactions to uncover how care experiences truly make people feel. By tracking sentiment throughout an encounter, it helps validate service quality, guide empathetic care team training, and enable real-time interventions to prevent escalations.
Conversation summarization
Generates clear, SBAR and SOAP-style summaries of chat encounters, streamlining clinical documentation for nurse triage and care coordination. Built on an open-source LLM and trained with real-world, de-identified data, it helps agents quickly review, edit, and finalize summaries with clinical accuracy and efficiency.
Task management/intelligent routing
Built-in AI-driven task management tools ensure members are automatically routed to the right care team representative for the best possible outcomes.
Great healthcare starts with a conversation
Discover how our innovative solutions can bring your digital health vision to life.