Claims tell you about a hospital stay weeks later. With ADT feeds, member outreach starts while it still matters, and your care managers take every clinical question.
Most plans learn about an admission from claims, weeks after discharge. By then the first days at home, when medication confusion and missed follow-up visits happen, are over.
Even with ADT notifications, someone has to turn each alert into a call, a medication check and a booked visit. At regional plan volume, alerts pile up faster than care managers can work them.
Your care managers set the scripts and take the escalations. Agents handle the calls and the booking.
ADT feeds flag the discharge. Discharges from connected hospitals are matched to the member the same day, instead of waiting for claims.
The member hears from the plan. The agent calls or texts with scripts your care managers approve, confirms the member is home and reviews the discharge instructions and medications.
Clinical questions go to a care manager. Red-flag answers and medication discrepancies are escalated by rule, with the conversation attached. Medication changes stay with the member’s prescriber.
The follow-up visit is booked. ZynSchedule books the visit with the member’s primary care provider, and reminders go out before it.
Agents escalate, clinicians decide. Agents follow the escalation rules your team sets and hand clinical questions to a licensed clinician. They don’t diagnose or recommend treatment.
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