Health plans

One contract for outpatient imaging. Every market, one national rate.

One contract. One national rate. Scan.com routes members to high-value freestanding sites at the point of referral, from order to clean claim.

The problem

You know freestanding is the answer. Your members still route to the hospital.

Advanced imaging is a commoditized service: the scan is identical across sites. The cost lever isn't fewer scans, it's the right site of care.

Hospital outpatient
2-3x
Freestanding (Scan.com network)
1xBaseline

Hospital pricing in your MLR

A hospital outpatient department bills 2-3x a freestanding center for the identical study. On a commodity, that delta is margin leakage, not clinical value.

Steerage that doesn't execute

Provider directories exist, but members default to the hospital brand they know. Routing is manual, and the cheaper freestanding option rarely wins.

Adequacy you can't build fast enough

Steering needs freestanding density in every market. Papering hundreds of centers one by one, each with its own fee schedule and claims feed, doesn't scale.

Live booking

Most networks send a directory. We send a booked appointment.

We are integrated into the scheduling systems behind our imaging network, so we surface live, open slots and put members straight into them. Care navigation stops being a list of numbers to call and becomes a confirmed appointment at a high-value site.

Scan.com

Your knee MRI is approved. Pick a time near you:

Tomorrow, 9:15 AM
Tomorrow, 2:40 PM
Thursday, 11:00 AM
Booked
Westside Imaging, Tomorrow 2:40 PM
  1. Live RIS integration
    We integrate directly into each center's scheduling system
  2. Real open slots
    Genuine availability, not a callback queue.
  3. Shared with the member
    Open times shared with the member to self-schedule.
  4. Booked, data flows back
    Confirmed appointment and structured data to you.
Faster appointmentsHigher adherenceQuicker turnaroundBetter member experienceStandardized data to payers

The only network that books members, not just routes them.

Routing a member to a cheaper center is a suggestion. Booking them into a live slot is a transaction. We are the only network that does the second, because we are integrated into every center's scheduling system, one RIS at a time. That is years of work, and it is why we are the category leader while the rest of the market is still sending directories.

Reporting is in-house, so we standardize the data flows and feed them back to your team, claims-ready.

How Scan.com works for you

One connected flow, end to end

Works alongside your existing utilization management and prior-auth. No rip-and-replace, member opt-in, minimal provider disruption.

OUR FLOW - STEP 1

Member referral

Send member referrals through your existing workflow or directly to Scan.com. We'll take it from there.

How it works

Step 01

Contract once

A single national agreement at one rate. Scan.com is your single commercial counterparty for outpatient imaging; you do not renegotiate market by market.

One national rate
Step 02

Route at the point of referral

We embed in care navigation, prior-auth and referral so the high-value site is the default, before the scan is booked, not a call after it's authorized.

Pre-service steerage
Step 03

Scan and specialist read

Board-certified specialist reads with structured reporting, delivered to the referring provider.

Specialist reads
Step 04

Clean claims and reporting

One clean, EDI-native claim per episode, with site-of-service shift and savings reporting at the plan level.

EDI-native claims
Proof points
00%Savings per scan vs. hospital outpatient allowed amounts
<0 daysMedian time to scan after referral
0/10Member experience score
Your claims, modeled

See the savings on your own claims

Send a de-identified claims extract under mutual NDA and we'll model site-of-service shift and savings against your current imaging spend, no commitment.

Request your savings model
What we deliver
  • Site-of-service shift opportunity by CPT and market
  • Modeled annual savings vs. current allowed amounts
  • Adequacy heatmap for your member geographies
  • Implementation roadmap, 60-day pilot scope
Plan savings model
Site-of-service shift · prepared from a de-identified extract
Modeled annual savings
$0.0Mvs current allowed
28% of imaging spend
Current allowed
$14.9M
Modeled
$10.7M
Shiftable vol.
61%
Members in network adequacy
91%
within 20 min of a high-value site
Site-of-service shift by CPT
72148 · MRI lumbar spine$980k
73721 · MRI lower-extremity joint$740k
70553 · MRI brain$620k
74177 · CT abdomen & pelvis$410k
73221 · MRI upper-extremity joint$300k
Network adequacy by geography
LowHigh
Atlanta, GA
94%
New York, NY
97%
Dallas, TX
88%
Chicago, IL
91%
Los Angeles, CA
86%
60-day pilot roadmap
Days 0-14
Data intake & match
Days 14-30
Model & validate
Days 30-60
Pilot live & report

Illustrative sample. Figures modeled from a de-identified claims extract under mutual NDA.

ACR-accredited centersBoard-certified radiologist readsHIPAASOC 2EDI-native clean claims

Ready to contract once and route everywhere?

Talk to the payer team about national coverage, rate design, and a 60-day pilot in your priority markets.