Health Benefits Answer Engine by Outfox Health

Health Benefits Answer Engine

Joined October 2025 | Last Updated November 2025

Outfox is an AI-powered answer engine for health benefits that helps brokers reduce claims costs and stand out with smarter, data-driven client solutions. It gives employees instant answers on coverage, costs, and care using each employer’s actual negotiated rates and quality data from 50B+ claims soo they choose high-value, in-network care. Brokers get measurable ROI, turnkey implementation (<30 days), and happier clients without adding HR or admin burden.

Features & Quick Stats

Core Business

Outfox Health’s core business is our AI-native answer engine that helps employers cut costs and improve care by giving employees instant, data-backed answers on coverage, cost, and where to go for high-value care.

 

How Health Benefits Answer Engine Helps Independent Agents & Brokers

Outfox helps independent agents and brokers win and retain business by delivering measurable, AI-driven cost savings for their clients - without adding admin work.

 

Our platform gives brokers a differentiated story to take to market: real price and quality transparency using each employer’s actual negotiated rates. Outfox steers members to high-value, lower-cost care inside existing networks, cutting medical spend and improving outcomes.

 

We handle all implementation (<30 days) and automated year-round engagement, so brokers can focus on growth. A real-time analytics dashboard quantifies engagement, savings, and ROI, giving brokers clear proof of value at renewal.

 

Integrations

One-way integrations: Integrated with major HRIS platforms including ADP, Workday, and UKG. Compatible with any BUCA ASO, regional carrier, TPA, or PBM that publishes Transparency-in-Coverage data.

 

AI Capabilities

Outfox is an AI-native answer engine. We use multiple coordinated AI agents to interpret each employer’s plan documents, machine-readable rate files, and 50B+ claims data in real time. These models instantly answer employees’ questions about coverage, costs, and care, and compare facility-level prices and quality to steer them to high-value providers.

 

For brokers, this means faster launches, no data-entry burden, and measurable, automated steerage savings that legacy call-center navigation tools can’t match.

 

Partnerships

Outfox partners with national brokers, captives, and benefit consulting firms, including Blackwell Captive Solutions (embedded across their captive programs), as well as brokerage groups. We also integrate with major HRIS platforms (ADP, Workday, UKG) and work seamlessly with any BUCA ASO, TPA, or health plan that publishes Transparency-in-Coverage data.

 

Certifications & Awards

Important company certifications: HIPAA, SOC2

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