01
Wasted member effort
Members waste time calling disconnected numbers or driving to closed locations, eroding trust in their provider search tools.
Healthcare moves at the speed of trust®
Sunny Network Integrity
Continuously accurate provider directories
The Difference
What makes Sunny Network Integrity different
Sunny Network Integrity delivers continuously curated, multisource validated provider data that scales with AI instead of call‑center headcount. This gives payers precise, up‑to‑date directories that actually power navigation and scheduling, not just compliance snapshots.
Proven Accuracy
Validated in real-world pilots
- Pre-call accuracy
- 90%
- With phone validation
- 100%
In pilot studies across both medical and dental providers.
Why It Matters
Why network integrity matters
For health plans, inaccurate or outdated provider listings are more than an inconvenience.
02
Ghost directories
Inaccurate listings mask true network adequacy and access, hiding how reachable a network really is.
03
Compliance risk
Proposed laws and regulations are setting explicit accuracy benchmarks and fines for non-compliance.
| Capability | Sunny Network Integrity | Call Centers | Claims Databases |
|---|---|---|---|
| Provider Accuracy | |||
| Data Completeness | |||
| Scalability | |||
| Continuous Curation | |||
| Actionability |
How It Works
How Sunny Network Integrity works
Sunny Network Integrity runs on the same Sunny Data Intelligence layer that powers the rest of the Sunny platform. Instead of one‑off outreach campaigns, Sunny continuously ingests signals across these channels — including structured signals from Sunny Verify provider calls — and reconciles them into the most accurate, up‑to‑date provider directory for your plan, at a fraction of the cost of traditional call centers.
01
Curated healthcare data
Eligibility, rosters, and existing provider files form a structured baseline of the network.
02
Web intelligence
Continuous monitoring detects changes in providers, locations, hours, and contact details across the web.
03
AI-powered phone validation
Structured signals from Sunny Verify provider calls confirm real-world availability and office details — replacing large portions of traditional call-center work.
Always On
Continuous curation, not a one-time fix
Traditional directory clean‑ups give you a temporary snapshot. Sunny Network Integrity is an always‑on service, so your directory trends toward higher accuracy and stays there.
- 1 Step 1
Score accuracy
Directory accuracy is scored continuously at the provider-location level.
- 2 Step 2
Prioritize validation
Records are queued for validation based on impact and risk, not a fixed calendar.
- 3 Step 3
Apply new intelligence
Fresh signals from Sunny Verify calls, web changes, and data feeds are reconciled into the directory.
- 4 Step 4
Feed data downstream
Corrected data flows back to your downstream systems and member experiences.
Closed Loop
Built to power member navigation and scheduling
Sunny Network Integrity connects directly with Sunny Network Navigator, so better directory data turns into better care access. Navigator uses the curated directory to recommend high‑value, in‑network providers, and Sunny’s AI agents can then book directly with those providers on behalf of members. Payers and members get a closed loop from data integrity → member search → booked appointments, instead of stopping at an improved directory file that still requires manual navigation.
Built For Payers
Designed to reduce ghost directories and compliance risk
Network Integrity turns static, error‑prone directories into a living network asset that reliably connects members to the right care.
01
Reduce ghost listings
For payers who need to cut ghost listings and rebuild member trust in their provider search tools.
02
Stay ahead of regulators
A defensible, data-driven approach to emerging directory accuracy regulations and potential fines.
03
Turn data into savings
Convert better data into better navigation and lower out-of-network spend, not just passing audits.
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