Casey
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Meet Casey

Purpose-built Voice AI Suite for Healthcare Payer CX

Casey is a pre-packaged Generative Voice AI suite for Payers. It is an integrated suite of an AI Voice Agent, a Co-Pilot and an Analytics app that covers the end-to-end member experience

Trusted by health plans, TPAs, MCOs and PBMs

IN PRODUCTION TODAY
3,000,000
Calls per annum
15
Payer clients
30–40%
Average automation rate
10
CCaaS platforms integrated
Who Casey serves

Contact Center, Clinical and Member Experience Teams

Voicegain Casey is purpose-built for all types of Payer organizations.

Health Plans
Commercial

Automate high-volume member and provider calls. Agents handle fewer routine calls. 100% of calls are analyzed for risks and member experience.

Medicare & Medicaid MCOs
Government-funded Plans

For Medicare & MA MCOs, Casey supports CMS Star Ratings and HEDIS score, by automating member outreach for HRAs and appointments

UM/CM companies
Prior auth & referrals

Augment clinical teams by automating prior authorization intake and status calls, so clinical teams spend less time answering routine status questions.

TPAs
Self-funded Employer Groups

Automate routine member and provider calls. Analyze every conversation for better navigation and cost containment across self-funded plans.

PBMs
Formulary & Rx auth

Automates prescription orders and refills, prior authorization status, and billing questions. Analyze calls for compliance and member experience insights.

Specialty Dental & vision
Specialty plan operations

Automate calls for specialty dental and vision. Augment live agents with real-time AI answers to the most common coverage and benefits questions.

Optimizing the Entire Caller journey

One AI Platform that can Automate, Augment & Analyze Every Payer Call

AUTOMATE CALLS

AI Voice Agent

Casey automates all your routine member calls and provider calls — eligibility, claim status, prior authorization, coverage & benefits. Casey automates 30–40% of inbound calls so that your human agents can focus on high value calls that require empathy and care.

30–40%
Automation rate
10
Pre-configured intents
Learn more  →
AUGMENT YOUR AGENTS

Co-Pilot

Casey Co-pilot augments your front-line call center staff and improves member satisfaction. Casey shares full context of AI Agent interaction, provides real-time AI suggestions by searching KB articles and plan documents, and automates note capture and follow up.

5 sec
Screen pop on transfer
1,000
KB articles & SBC/SPD ingested
Learn more  →
Analyze every conversation

QA & Analytics

Casey records, transcribes and analyzes 100% of your interactions, giving you full QA coverage, compliance visibility and sentiment insight.

100%
Calls scored for QA & analyzed
12
Insights like FCR, sentiment, CSAT
Learn more  →
Voicegain Casey Advantage

Why choose Voicegain Casey?

Purpose-built for payers
Casey's intents for automation are pre-built and battle-tested in production. The Co-Pilot and Analytics are also specifically built for payer workflows.
Guaranteed outcomes
Casey delivers contractual SLAs on automation rates, member reach rates, CSAT improvements, and compliance.
Pricing with tangible ROI
Our pricing model is outcome-based rather than token or per-minute usage. Payer clients can easily calculate their savings while we take the risk.
Deep payer expertise
Our Client Success teams have all worked in the payer space and understand your business operations and workflows.
Pre-built Integrations
Pre-built integrations with Payer backend systems (like Claims), CRM and CCaaS platforms get launched quickly.
The Shift

Before Casey. After Casey.

Before · Without Casey

Routine calls drown contact center.

Call arrives
Caller navigates an IVR menu tree, pressing 1-2-3 to self-route
HIPAA Validation
Live agent performs HIPAA validation
Routine request
Queued for a live agent
Hold time
Queues build during AEP, redeterminations, and peak season
When a human is needed
Caller repeats everything to the agent
During the call
Agent searches the knowledge base while the member waits
After the call
Agent writes notes manually taking 1-2 mins; Only 2–5% of calls sampled for QA
Coverage
Business hours
After · With Casey

The routine resolves itself.

Call arrives
Casey engages the caller in natural speech
HIPAA Validation
Casey completes HIPAA verification automatically
Routine request
Casey resolves the request end to end
Hold time
No queue for the 30–40% of calls Casey handles on its own
When a human is needed
Casey transfers with full context in under 5 seconds
During the call
Co-Pilot surfaces answers from plan documents in real time
After the call
Notes written automatically; 100% of calls scored for QA, sentiment, and compliance
Coverage
24/7
DEPLOYMENT

Casey processes PHI in your VPC or on our secure Cloud

One codebase, two deployment models. The security review is usually what decides the timeline. This is how it stops being the blocker.

VOICEGAIN CLOUD
Our Cloud
Casey
YOUR PERIMETER
Claims · Eligibility · CRM

Fastest to production. PHI hosted by Voicegain under a BAA, on HIPAA-compliant, SOC 2 certified infrastructure.

PRIVATE CLOUD
Your VPC
YOUR PERIMETER · AIR-GAPPED
Casey
Claims · Eligibility

Run Voicegain Casey in your VPC. All PHI will remain in your network.

INTEGRATIONS

Everything already in your stack, on one line.

Casey sits behind the CCaaS you already run and writes back into the payer systems you already use.

Five9
NICE
Genesys
Avaya
Nextiva
RingCentral
Dialpad
Aircall
8×8
Casey
CONNECTED PAYER SYSTEMS
6 live
Javelina
Claims & eligibility
Read + write
TriZetto QNXT
Benefits & accumulators
Read
Salesforce Health Cloud
Member CRM
Write-back
Availity
Provider eligibility
Read
CCaaS platforms
Five9
NICE
Genesys
Avaya
Nextiva
RingCentral
Dialpad
Aircall
8×8
Casey
Connected payer systems
6 live
Javelina
Read + write
Claims & eligibility
TriZetto QNXT
Read
Benefits & accumulators
Salesforce Health Cloud
Write-back
Member CRM
Availity
Read
Provider eligibility
FAQs

Common questions about Casey.

Have more questions?
Talk to us →

What is an AI voice agent for a healthcare payer contact center?

What types of calls can Casey handle?

How is Casey different from a traditional IVR?

How is Casey priced?

How long does it take to deploy Casey?

How does Casey deal with AI hallucinations?

Trust & compliance

The certifications your procurement team will want.

HIPAA
Full compliance with healthcare regulations.
SOC 2 Type 2
Audit complete on all 5 criteria of SOC 2.
PCI DSS
Complies with Level-2 v4.0 PCI guidelines.
E2E-Encryption
Secure solutions from call start to finish.
Customer stories

In their words.

"Our call center agents are the first point of contact for some of the most vulnerable Medicaid populations. Realtime guidance from Voicegain Casey means faster, more accurate answers for our most vulnerable members."

Read the full story →

Routine provider calls were overwhelming our call center staff. We launched Voicegain Casey and today we automate 40% of our Claims ane Eligibility calls. This has freed up our Agents to truly engage with Members and increase our NPS.

Read the full story →

Guaranteed outcomes. Not just software.SLAs on outcomes. Outcome-based pricing. We take the risk.