You're overpaying for care that costs less down the street.

Outfox reads your plan's contracted rates and guides employees to lower-cost, higher-quality providers inside the network you already have.

Book demo
Live in 30 days Works with any carrier Built for self-funded plans 🦊
The problem

The same procedure. The same network. Wildly different prices.

Inside your plan, prices for the exact same procedure can vary 5×, 10×, even more.

Employees can't see those differences. So they default to the closest or most familiar option — and you pay the gap.

How Outfox works

We turn your existing plan into an answer engine that reduces healthcare costs.

Three pieces, all running on data you already have. No claims feed required to launch.

01
Step 1 · Ingest plan rules

We train an AI tailored to your health plan.

It's built from your plan documents, point solutions, formularies, and contracted rates — so every answer reflects your exact coverage and pricing.

PDFs + eligibility feed · no claims required
02
Step 2 · FoxIndex quality data

We bring the price, network, and outcomes data.

We combine your contracted rates with provider network data and FoxIndex outcomes — so employees can see what performs best before they choose.

Episode-based · risk-adjusted · 100M+ people annually
03
Step 3 · Answer engine

Employees get a real answer, before they go.

An employee asks, in plain language, what something will cost or where to go. Our Answer Engine gives them specific, cited, lower-cost, higher-quality options — on iOS, Android, and the web. Decisions move. Spend follows.

24/7 · multilingual · cited from plan docs
Why this is different

Healthcare savings are decided before the claim.

Most solutions focus on analysis or support. They help you understand your plan or review what already happened.

Outfox operates at the moment of decision — when an employee is choosing where to go, what it costs, and what's covered.

Option AThe analytics tool

Claims dashboards

Tells you what already happened. Useful for renewal conversations. Not useful to the employee in the waiting room.

  • Reports months after the spend
  • No employee-facing access
  • Can't change a single decision
Option BThe everything tool

Benefits navigation

Answers questions, books appointments, tracks wellness. The care cost decision gets lost among a dozen other features.

  • Broad by design — many features, no depth
  • Cost estimates based on network averages, not your contracted rates
  • Physician-focused — misses facility cost variation, the biggest cost lever
  • Months of implementation — requires carrier integrations and HR lift to launch
Option CThe Answer Engine

Outfox Health

An answer engine sitting on your real contracted rates and FoxIndex quality scores — guiding the decision before it's made, not auditing it after.

  • Your actual contracted rates — not network averages
  • Facility-level guidance — where the real savings live
  • Cost and quality together, at the moment of the decision
  • Live in 30 days · no carrier change · no plan redesign
Built for employers

You're taking the risk.
You should have the advantage.

Health systems are using AI to maximize reimbursement. Carriers are investing billions to optimize claims and operations.

Today, employers absorb the cost.

Outfox gives you the same advantage — turning your plan's data into real-time guidance at the moment decisions are made.

Book demo

Feeling the cost pressure

You're being asked to reduce spend. Outfox gives you a lever that actually works.

Managing a complex plan

Multiple vendors, fragmented data. Outfox brings it together at the point of decision.

Already have a strategy

Tiered networks, steerage, point solutions. Outfox makes it work in real life.

Planning for renewal

Decisions today shape next year's spend. Outfox lets you act before it's too late.

See your real rates.

Book demo