Provider, pharmacy, facility, and drug search your members rely on. The provider-directory API CMS requires by 2027. The network-adequacy numbers you file with regulators. One white-label platform, live with three U.S. health plans and about 90,000 providers.
Provider A, MD
AcceptingProvider B, DO
AcceptingProvider C, MD
Live in production with U.S. Medicare Advantage plans
Member search, network adequacy, and the FHIR directory all run on the same provider data. Most plans buy them as three systems that disagree with each other. We don't.
Fall short on coverage in even one county-and-specialty cell and it doesn't stay quiet. It can trigger an enrollment freeze, a corrective action plan, and the cost of remediating under deadline.
Roughly half of MA directory entries fail CMS review. Inaccuracies draw corrective action plans and rising penalties — and starting with plan year 2027, your directory is public on Medicare Plan Finder, where members and competitors can see it.
CMS now requires every MA plan to publish a machine-readable provider-directory API — the FHIR Plan-Net API, due by January 2027. Machine-readable means other systems can pull your directory automatically. Plans without one tend to learn it from a complaint, not their roadmap.
Four ways your members find care, the FHIR directory API CMS requires, and the analytics that prove your network is adequate. All white-labeled to your plan, all running on the same provider data — so what members see, what your executives track, and what you file never disagree.
They filter by what actually decides the choice — specialty, language, whether the doctor is taking new patients, and how far away they are — and get an answer in well under a second.
Provider A, MD
AcceptingProvider B, DO
AcceptingProvider C, MD
Three U.S. Medicare Advantage plans and about 90,000 providers run on InsureLytix in production. Since our first launch in 2023, every plan that has gone live on the platform is still on it — through renewals, channel changes, and procurement transitions.
Medicare Advantage + D-SNP
Multi-state, Southeast U.S.
“One directory serving both MA and D-SNP members across the Southeast — no parallel system to maintain.”
Medicare Advantage
Southeast U.S. (multi-state)
“Provider directory and FHIR Plan-Net live on the plan's own domain, with no directory-accuracy audit findings reported.”
Medicare Advantage I-SNP
Florida
“A provider-led group standing up its own MA plan — directory and compliance handled, so the team stays focused on care.”
Each plan ships with the same compliance posture. There's no upgrade tier for being CMS-ready, because it's the default — the directory API, the adequacy numbers, accessibility, and audit logging are live from day one.
The FHIR Plan-Net API CMS requires, with bulk export and secure machine access. Live in production today.
Coverage scored by county and specialty, weighted by real care patterns and the 65-plus population. Exports the HSD table you file in CMS's HPMS system.
Keyboard navigation, screen-reader support, semantic structure, and contrast checked across the whole member experience. VPAT available.
Every request logged with a trace ID, every plan's data isolated, encrypted in transit and at rest, with time-limited signed downloads.
All seven Plan-Net resources implemented to the spec — not FHIR-flavored REST, actual FHIR.
Your network coverage is re-scored by county and specialty every time provider data changes, and the same scores export as the network-adequacy file you submit to CMS. Operations and compliance read off one set of numbers, so they can't drift apart.
Network adequacy · live
Endocrinology · Diabetes · Sample service area
Counties
6
in service area
Adequate
2
≤ 10 patients/provider
Critical
1
action required
County coverage · patients per provider
"Most plans inherit three systems that argue with each other — the directory, the adequacy filing, the member site. We made a different call: put all three on one set of provider data. Members, executives, and CMS end up looking at the same truth. That decision is the whole company."
— Amandeep Singh, founder, InsureLytix Inc.
InsureLytix is white-label software for U.S. Medicare Advantage health plans. It runs the member-facing provider, pharmacy, facility, and drug search; the FHIR provider-directory API that CMS requires; and network-adequacy analytics — on one platform, branded as the plan. It's live in production with three U.S. MA plans, covering about 90,000 providers.
Ready when you are
If your provider data is ready, a new white-labeled tenant goes live in about a week. Compliance certification runs alongside it, not as a later phase.
