WestCX for Payers

Orchestrated Engagement. Better Outcomes. Proven ROI.

Trusted by leading payer organizations to manage millions of member interactions across voice, SMS/RCS, and digital channels.

WestCX automates and personalizes member outreach for payers. Our AI-powered platform delivers personalized, compliant communications across channels – boosting enrollment, adherence, preventive care, and quality while reducing operational burden and advancing equity.

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Enabling Payer Teams to Deliver More Connected, Impactful Programs

WestCX is designed to show clear, measurable impact across payer initiatives.

Accelerate Enrollment & Engagement

In preventive care, screenings, and condition-specific programs – reducing missed opportunities and improving Stars and HEDIS performance.

Improve Adherence & Program Compliance

Across the member journey with orchestrated, two-way communication that supports quality initiatives and CAHPS outcomes.

Prove ROI & Reduce Administrative Cost

While lowering operational burden through automation – reducing manual outreach and call center strain.

Advance Equity with Personalized Outreach

With multilingual outreach across channels and literacy levels to close care gaps and advance health equity at scale.

What changes when engagement is orchestrated – not manual?

With WestCX, payer teams shift from reactive, labor-intensive communication to proactive, intelligent engagement.
   
  Other Platforms
Go Live Timeline Typical deployment takes months or even years Launch in weeks fastest in the industry
Security & Compliance Many platforms lack dedicated payer compliance and deep privacy controls Enterprise-grade, HIPAA and TCPA Compliant; built for strict payer compliance
Engagement Channels
Often siloed or require third-party integration One platform – unified SMS/RCS, voice, chat, email, and postcards
Analytics & Reporting
Basic or delayed reporting; limited outcome transparency Track member engagement, real-time ROI, and patient satisfaction dashboards
 
Other Platforms
Typical deployment takes months or even years Launch in weeks fastest in the industry
Many platforms lack dedicated pharmacy compliance and deep privacy controls Enterprise-grade, HIPAA-compliant; built for strict pharmacy compliance
Often siloed or require third-party integration One platform-unified SMS/RCS, voice, chat, and email
Basic or delayed reporting; limited outcome transparency Real-time proof of ROI, fill rates, and patient satisfaction dashboards
This enables payer organizations to scale engagement while improving compliance, equity, and member experience.
CASE STUDY

Unifying Patient Communication Across a 24-State Health Network

Delivering streamlined communication, reduced operational complexity, and consistent patient experiences nationwide.

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Seamless Integration

WestCX connects to health plan and payer systems, including member databases and communication platforms, to deliver unified engagement across voice, SMS/RCS, chat, and email.

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How WestCX Helps Payers Advance Outcomes

WestCX gives payer teams an AI-powered engagement layer that automates outreach, personalizes every interaction, and turns everyday communications into actionable outcomes.
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AI-Powered Member Orchestration

Multichannel orchestration of outreach, inquiries, reminders, and support tied to plan goals.

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Conversational AI & Digital Self Service

Virtual agents automate inbound inquiries, FAQs, benefits support, and enrollment across voice, SMS/RCS, chat, and web — reducing drop-offs and freeing staff for high-value work.

 

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Program-Aligned Engagement

Automated campaigns for preventive care, wellness programs, plan enrollment, reminders, and adherence — launched quickly with pre-built workflows.

 

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Analytics & Optimization

Real-time dashboards highlight engagement gaps, benchmark performance, and tie outreach to outcomes, compliance, and ROI.

 

PLAYBOOK

Build Your AI-Powered Payer Roadmap

Turn everyday payer interactions into a scalable, AI-driven engine for efficiency, safety, and patient loyalty with a clear roadmap built for modern pharmacies. This guide shows how to move from pilots stuck at the front counter to organization-wide AI that measurably improves operations, outcomes, and margins.

 

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Ready to improve member engagement, adherence, and outcomes?

Schedule a demo to see how WestCX orchestrates every interaction — from enrollment to completion — with compliance, scale, and measurable impact built in.
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