Solutions · HMOs

Modern infrastructure for distribution, claims, and ops.

Plug into the connectivity layer. Reach new distribution partners, automate ops, and get AI scoring on every claim.

Capabilities

What you can do.

Distribution

Every fintech, HR platform, and partner integrated to Pierflow becomes a distribution channel for your plans.

Claims intake

Receive structured claims with fraud_score and eligibility_confidence inline. Cut investigation time on every adjudication.

Member operations

Verification, dependents, renewals, and member updates flow through canonical endpoints.

FHIR R4 exchange

Become standards-aligned overnight without re-platforming.

Outcomes

What partners get.

<48h

to onboard a new distribution partner.

100%

of inbound claims scored at intake.

1

canonical surface — fewer bespoke integrations to maintain.

AI field returned

fraud_score

Build with us.

Connect your product to the health data layer. Talk to the team or request API access.