FAQ
Frequently Asked Questions
Find answers to common questions about Mriya Health for employers, advisors, health plans, and members.
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For Employers
How much can employers save?
Employers see an average 12% reduction in total plan costs in the first year alone. Mriya's model aligns financial incentives so members choose high-quality, cost-efficient providers. These providers help your employees get healthier, faster and have lower complication rates — leading to lower healthcare costs.
How does Mriya evaluate provider quality?
Mriya applies 550+ proprietary clinical metrics to our dataset of de-identified medical claims from 320M+ patients to identify the top-performing providers in your network. Providers are evaluated on clinical outcomes, adherence to evidence-based best practices, and cost efficiency within their specialty, geography, and peer set.
Does Mriya disrupt our existing carrier or network?
No. Mriya works as a layer on top of your existing health plan and provider network. Members continue to use their current insurance cards and can see any in-network provider. Mriya simply guides them toward the best ones and helps them cover their out-of-pocket costs when they see these top-performing providers.
How does Mriya drive member engagement?
Mriya's user-friendly app and white-glove Concierge make it simple and stress-free to find the best in-network doctors with availability in your area. Mriya incentivizes more of your employees to see the best doctors by helping cover their out-of-pocket costs when they visit a Top Provider.
How long does implementation take?
Mriya's full-service implementation team handles the entire setup process. Most employers are live within 4–6 weeks, with dedicated support throughout open enrollment and beyond.
For Providers
How does Mriya rank providers?
Mriya uses over 550 specialty-specific metrics derived from a dataset of 60+ billion medical records. Providers are evaluated on outcomes, adherence to evidence-based care, and cost efficiency — compared against peers in their specialty and geography.
How accurate is Mriya's provider directory?
Mriya achieves 92% accuracy for provider phone numbers, addresses, and appointment availability using a combination of AI, data science, and continuous verification. We update our directory regularly to ensure members can always reach the providers we recommend.
How can my organization partner with Mriya?
Providers can access Mriya's data through our API, the Mriya Insights Portal, or through strategic partnerships. Contact us to learn which option best fits your organization's needs.
For Health Plans
Does Mriya require plan refiling or network changes?
No. Mriya works with your existing plans and networks, requiring no custom integrations, operational changes, or plan refiling. The solution is fully compliant with payer-provider contracts.
How does Mriya improve underwriting margins?
By steering members toward higher-performing providers, Mriya reduces total plan costs by an average of 12%. This directly improves your underwriting margin and makes renewal conversations much more competitive.
What data does Mriya need from our health plan?
Mriya works with standard eligibility files and does not require claims data from health plans. Our analytics are powered by our own proprietary dataset of 60+ billion records.
For Members
Is Mriya free to use?
Yes, Mriya is completely free for members whose employer offers it as a benefit. There is no cost to activate your account, find a Top Provider, or use the Concierge service.
What costs does Mriya cover?
When you see a Mriya Top Provider, Mriya can reimburse your out-of-pocket costs including copays, coinsurance, office visits, lab tests, imaging, and even surgeries. Members save an average of 80% on out-of-pocket costs per visit.
What if my doctor isn't a Top Provider?
You can still see any in-network provider — Mriya doesn't restrict your choices. However, if you visit a provider not designated as a Top Provider, Mriya won't cover your out-of-pocket costs for that visit.
How do I submit a claim?
Submit claims directly through the Mriya app or web portal after your visit. Our Concierge team reviews claims typically within 2–3 business days and you'll receive reimbursement directly to your bank account.
Is Mriya available in my state?
Mriya is available across all 50 states. The availability of Top Providers varies by geography and network, but our Concierge can always help you find the best available option near you.
Still have questions?
Our team is happy to walk you through how Mriya works for your specific situation.