Overview

Zipari’s Member Portal and Mobile App provide health-plan members with a unified, mobile-friendly self-service experience that exposes plan details, ID cards, claims, EOBs, payment options, provider/Rx search, and personalized recommendations. Built on Zipari’s CX platform and CX Engine, the solutions integrate with existing payer and third-party systems to surface goal-driven, data-informed member actions while reducing call-center volume and supporting HIPAA-compliant workflows.

Features and Capabilities

• Core self-service: members can view ID cards, explanation of benefits (EOBs), claims history, accumulators, and plan documents directly in the portal and app; supports payments and autopay.
• Authentication & access: single sign-on and biometric login options for native mobile apps to simplify access while protecting data.
• Personalization & recommendations: leverages the Zipari CX Engine to aggregate demographic, clinical and behavioral data and deliver next-best-action recommendations.
• Integration & extensibility: integrates with provider and Rx search, cost-transparency tools, telemedicine, chatbots, third-party wellness or CRM tools via APIs and configurable connectors.
• Communication & engagement: secure messaging/document center, configurable notifications, and campaign/engagement orchestration across portal, app, call center and provider channels.
• Analytics & visibility: real-time member activity tracking and dashboards to measure digital adoption, member actions, and ROI metrics (e.g., call-center reduction, app adoption).
• Compliance & security: HIPAA-aware design and enterprise controls suitable for payers and TPAs; supports typical enrollment and transactional feeds (834, claims, formulary, accumulators).
• Rapid deployment & configurability: product comes with payer-specific workflows out-of-the-box to reduce customization time and accelerate time-to-value.