CareNavigator
Care Coordination Platform
Care coordination, care navigation, and transitions of care. The portal your case managers actually want to use — automated alerts, evidence-based journeys, AI-prioritized worklists.
One Person. One Care Team. One Platform.
That is how you transform your care delivery model! Whole-person, payer-grade, enterprise-ready.
One unified platform for care coordination, transitions of care, prior authorization, quality, patient engagement, and SDOH — built on 25+ years of healthcare product expertise. Trusted by Payers, MCOs, Health Systems, ACOs, FQHCs and Hospitals.
- HITRUSTCertified
- HIPAACompliant
- 30-DayGo-Live
- 25+ YrsHealthcare
The IntegratedCarePlatform®
We've got you covered. Unified, intelligent care delivery — all in one platform.
While point solutions force you to stitch together a dozen vendors, the IntegratedCarePlatform delivers care coordination, transitions of care, UM/PA, quality, patient engagement, communications, analytics, and interoperability in a single payer-grade environment. Whole-person care: physical, behavioral, and SDOH — together.
01
Multi-Payer, Multi-Line
Commercial, Medicare, Medicare Advantage, Medicaid and ACA — one platform supporting every line of business.
02
Whole-Person Care
Physical health, behavioral health, and Social Determinants of Health — fully integrated. Not bolted-on modules. A single longitudinal record across every modality of care.
- Mental & physical health risk modeling
- SDOH screening, assessment & referral
- Substance use disorder pathways
03
Built on 25+ Years
Kbrax has been building healthcare products for a quarter-century. We don't ship MVPs to your members — we ship enterprise-grade, HITRUST-certified, payer-tested infrastructure that goes live in 30 days.
Why teams choose Kbrax →04
HEDIS, Stars & Quality
59+ measures tracked. Automated gap closure with attestation. Provider quality and grievance tracking built in.
05
Payer-Grade UM & PA
Utilization Management and Prior Authorization automation that meets payer compliance — including the new Prior Auth API mandates.
06
Closed-Loop Referrals
Internal and external referral management with automated routing, prioritization, and outcome tracking.
07
Physical, Mental and Social determinant of Health
Manage all modalities of one's care in a single platform, manage the entire population, or focus on a single patient.
12 Modules. One Platform.
The complete care delivery stack.
Every module is included. Every module talks to every other module. Buy what you need today, light up the rest tomorrow — without a re-implementation.
QualSense
Gap Closure & Quality Measures
HEDIS gap closure, attestation with supporting docs, structured & unstructured data processing via AI, provider quality management, and grievance tracking.
MindPure
Patient Engagement Mobile App
iOS & Android app for mood, sleep, activity, food, symptoms, dependency and journal tracking. Mindfulness, secure messaging, devices & wearables. Real-time data exposure to clinical teams.
CareInsight
Analytics & Reporting
Standard dashboards plus custom reporting on the population, the program, and the people. Cost-per-member trends, gap closure, outreach effectiveness — all in one pane of glass.
DataHarmony
Interoperability Engine
HIE, EHR/EMR bidirectional integration. FHIR, HL7, X12, API, SFTP, JSON/XML/Flat-file. 40+ authentication methods. The most enterprise-ready integration layer in the market.
WellEngaged
Communication Engine
SMS bidirectional, AI voice calls, secure messaging, email reminders, IVR, and eFax processing. The omni-channel engagement layer that actually reaches members.
UMLead
Utilization Management & Prior Auth
UM tracking, team orchestration, high-risk member detection, RX utilization, and prior authorization automation that complies with the new Prior Auth API mandates.
CareCompanion
AI Workflow Engine
The AI co-pilot for clinical teams. Workflow efficiency, automation, intelligent task prioritization, and the brain behind every protocol assignment.
AngelAI
Patient Engagement & Guidance
Conversational AI for patients. Assessments delivered in natural dialogue. Mental health support, suicide risk screening, SDOH triage, and best-course-of-treatment analysis.
PatientNav
Patient Navigation Services
Live patient navigation, post-discharge follow-ups, patient assessment services, and concierge-grade member support — staffed by Kbrax's clinically-trained navigators.
CareWait
CMS Secret Shopper Program
Provider appointment wait time (in-person & virtual), provider grievance tracking, quality measures, and the only independent CMS-aligned secret shopper program of its kind.
IntegratedCarePlatform®
The Platform Itself
Modular. Configurable. Payer-agnostic. Role-based security. Customizable dashboards. Multi-payer support. The foundation that makes the other 11 modules sing.
One Environment to Serve All
From data sources to every stakeholder — orchestrated.
Your EHR, EMR, HIE, data warehouse and HEDIS engine flow into DataHarmony. From there, every module — care coordination, quality, UM, provider grievance, insights, mobility, prior authorization, patient communication — serves every role: navigators, case managers, care coordinators, social workers, PCPs, specialists, call center, and the patient's circle of trust.
- ✓ Bidirectional EHR/EMR integration
- ✓ HIE connectivity
- ✓ FHIR, HL7, X12, API, SFTP, JSON/XML
- ✓ Role-based security across the entire platform
- ✓ Payer agnostic platform
- ✓ Patient stratification and cohort management
- ✓ Data sharing across organizations regardless of their EMRs
- ✓ Medication management
- ✓ Closed-loop referral management
- ✓ Risk assessemnts and so much more .....
Built For Risk-Bearing Organizations
Whoever you are in healthcare, we have you covered.
Primary Audience
Payers, MCOs & Health Plans
Commercial, Medicare, Medicare Advantage, Medicaid and ACA. The IntegratedCarePlatform was purpose-built for the demands of risk-bearing entities — Stars, HEDIS, UM/PA mandates, network adequacy, and total cost of care.
- Stars & HEDIS: 59+ measures tracked, automated gap closure with attestation
- UM/PA Compliance: Meet the Prior Auth API mandate without re-platforming
- Network Efficacy: CareWait independent secret shopper program
- Total Cost of Care: High-risk member cost containment, sustained downward trends
- Multi-line support: One platform, every line of business
- Member Experience: MindPure app + AngelAI for whole-person engagement
58,871
Care gaps closed at one health plan
Across preventive, chronic, and behavioral health
40%
Fewer referral declinations
↓
High-risk member costs trending down month over month
Provider-Side
1,100%
Increase in successful referrals
Closed-loop referral management
27%
Reduction in ER visits & avoidable admissions in 90 days
52→12
Days to PCP follow-up
Health Systems, Provider Groups, FQHCs, ACOs & Hospitals
If you're carrying risk — or about to — you need more than an EHR. You need an enterprise care coordination platform that fits alongside your EHR and powers the workflows it was never designed for.
- Transitions of Care: Real-time ADT, automated post-discharge journeys
- Closed-Loop Referrals: Internal and external, with provider feedback
- FQHC-ready: SDOH screening, social workers in the circle of trust
- ACO Quality: Aligned with value-based care goals from day one
- Non-disruptive: Sits next to Epic, Cerner, athena, or any EHR
- Patient Navigation: Optional staffed navigation services
Real Clients. Real Numbers.
Outcomes that change the conversation at the board level.
Every number on this page is from an actual Kbrax engagement. References available on request.
17,165
Member outreaches in a single program
29,500
Care gaps addressed (up from 1,500)
1,100%
Increase in successful referrals
27%
Reduction in ER visits in 90 days
Case Study · Risk-Bearing Health System
Post-Acute Care Coordination — Wisconsin
18 hospitals · 130 outpatient locations · 14,000 team members
Only 11% of discharged members were seeing their PCP, with 34-day average wait times. After implementing CareNavigator from CompleteCarePlatform®:
11% → 50%+PCP utilization post-discharge
34 → 13 daysTime to PCP visit
27%ER & avoidable admission reduction
87%Follow-up rate after ER event
"Our delivery, commitment to quality, and dedication to member care have improved tenfold."— Regional Plan COO, Leading Health System in Wisconsin
Outcomes Whitepaper
Closing 58,871 Care Gaps
A large health system was trapped in manual outreach, stalled referral queues, and no real-time visibility. CareNavigator transformed the operation:
- 58,871 gaps closed across 59 measures
- 40% drop in referral declinations
- 42,060 adult immunizations
- 7,663 colorectal screenings
- High-risk member costs in sustained decline
Diabetes & Chronic Care
HEDIS Compliance — Aspirus Health Plan
~50,000 members. Just 5 case managers. Diabetic A1c performance had crashed from 76.6% to 27%. Kbrax stratified 2,480 diabetic members and the team executed:
CM Touch Rate10% → 80%
Eye Exam Compliance50% → 70%
A1c <8% Compliance40% → 60%
ER Visits / 1000180 → 150
12-month results across the book of business
87%follow-ups after an ED event
60%engaged after acute or inpatient event
34%follow-ups within 7 days
27%ER & avoidable admission reduction
300%increase in chronic-condition clinical engagement
200%increase in post-discharge PCP follow-ups
19%decrease in unwanted readmissions
15%decrease in emergency visits
Why Kbrax
Ignite your organization's true potential.
15 reasons leaders pick Kbrax over the alternatives.
01
HITRUST Certified
02
25+ Years Healthcare Delivery
03
Go-Live in 30 Days
04
Non-Disruptive Integration
05
Enterprise-Ready Architecture
06
Modular, Scalable Design
07
Whole-Person, Patient-Centric Model
08
Physical, Behavioral & Social Needs
09
Multi-Payer Support
10
Seamless Workflow Orchestration
11
Proactive Patient Engagement
12
Advanced Clinical AI & Automation
13
Mobile-First Access
14
Eliminates Care Silos
15
Rapid, Agile Enhancements
"
Our delivery, commitment to quality, and dedication to member care have improved tenfold.
Regional Plan COO Leading Health System, Wisconsin"
This remarkable outcome is a testament to the dedication of hardworking clinical staff and the vision of innovative leaders. It has been a true privilege to collaborate with this health system.
Koorosh Yasami CEO, KbraxLet's Talk
Ready to transform care coordination and improve outcomes?
Tell us about your organization and what you're trying to solve. A senior member of our team — not a BDR — will reach out within one business day to scope a 30-minute executive briefing.