Health plans

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

The in-network provider-of-record layer for outpatient imaging. Contract once, price once, and route members to high-value sites at the point of referral.

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.

The same scan, priced two ways
Freestanding
1x
Hospital outpatient
2-3x

Identical MRI or CT. Same machine, same read. The pink is overpayment you can route away.

It's the same scan

Identical machine, identical read. The only variable is the bill, so steering site of care recovers margin without touching clinical quality or denying care.

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.

The answer is freestanding. The routing and adequacy to get members there is the missing layer. That's the layer Scan operates.

WHAT ONLY SCAN DOES

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

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

Scan.com care team
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 connect into each centre's scheduling system by API.
  2. Real open slots
    Genuine availability, not a callback queue.
  3. Sent to the member
    Open times sent straight to the member.
  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 centre is a suggestion. Booking them into a live slot is a transaction. We are the only network that does the second, because it takes an API integration into every centre'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.

Point of referral
Routed pathDefault avoided
Member referral
Order received
Scan.com routing
Routes before booking
Routed here
High-value freestanding site
In-network · $
Hospital outpatient
Default avoided · $$$$
100% in-network, high-value sites
2-3x lower than hospital outpatient
Routed before booking, not after auth
Step 01

Contract once

A single national agreement at one rate. Scan.com is your in-network provider-of-record; 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
Network coverage

Adequacy where your members are

Coverage density
LightMidHigh
Hover a state to see in-network coverage.
0+
accredited centers
Adequacy
In-network sites close to where members live
0
states live (national network)
Proof points
00%
Savings per scan vs. hospital outpatient allowed amounts
<0 days
Median time to scan after referral
0+
Accredited centers in network
0/10
Member experience score
Design partner
“A regional health plan shifted the majority of its advanced outpatient imaging to freestanding sites within the first two quarters.”
Anonymized. Named reference available under NDA.
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.

Talk to the payer team