As a Consumer Data Respondent of Population Science Management (PSM) health care decisions don’t have to feel overwhelming. Detego Health, PSM’s third-party administrator, Member Advocates work together to help you understand your options, ask the right questions and move forward with confidence. GuideCM, NaviClaim and ScriptAide each play a different role. When used together they support you across key moments in your care journey.
This guide breaks down what each resource does, when to use it and how your Detego Health Member Advocates can help you get the most out of your benefits.
GuideCM: Member Advocate support when planning care
GuideCM helps when you’re making decisions before care happens. It focuses on coordination, transparency and helping you understand your options, especially for services like imaging.
Use GuideCM when:
- You need imaging, such as an MRI or CT scan and want to explore quality, in-network options. GuideCM can connect you with Green Imaging to help coordinate your appointment at a convenient location and ensure results are sent directly to your provider.
- You’re scheduling care and want help comparing locations or facilities
- You want to understand what’s required before a service is scheduled
You may not need GuideCM when:
- Care has already happened and you’re reviewing a bill or claim
- You’re only looking for prescription support
NaviClaim: Member Advocates for bills and claims
NaviClaim supports you after care is complete. If something on a bill doesn’t look right, this is where to start. NaviClaim helps review claims and explains what happened between your provider and your health plan.
Use NaviClaim when:
- You received a bill you don’t understand
- A charge looks higher than expected
- You want help checking whether a claim was processed correctly
You may not need NaviClaim when:
- You’re planning future care or comparing providers
- Your question is specifically about prescription pricing
ScriptAide: Member Advocates at the pharmacy
ScriptAide focuses on prescription support. It helps you understand changes, explore alternatives and avoid surprises at the pharmacy counter.
Use ScriptAide when:
- Your prescription cost changed
- You’re starting a new medication and want to review options
- You want help before filling a prescription
You may not need ScriptAide when:
- Your question is about a medical bill or claim
- You’re scheduling services like imaging or procedures
How Member Advocates work together
“I got a bill I don’t understand.”
Start with NaviClaim. A Member Advocate can help review the bill and explain next steps.
“I need imaging and want a lower-cost option.”
GuideCM can help you explore quality locations before you schedule.
“My prescription cost changed.”
ScriptAide can help you understand why and look at available alternatives.
Each tool supports a different moment, but you never have to figure it out alone.
Your Member Advocates are here for you
Detego Health Member Advocates help connect the dots. They listen, guide and help you use the right resource at the right time, so you can make informed decisions with confidence. Before you pay, check your options and reach out for support.