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Simplifying DME delivery for health plans

Synapse Health simplifies DME delivery for health plans—centralizing intake, documentation, routing, fulfillment, and claims through one delegated provider of record.

Explore Our Solutions

From prescription to delivery, Synapse keeps everyone in sync

Our connected platform bridges prescribers, payors, and DME providers — reducing delays, preventing errors, and putting member care at the center of all we do.

Why Synapse Health

Helpful Resources

Your fully accountable delivery partner for DME
We remove complexity with one accountable, risk-bearing partner. Synapse assumes delegated risk and operational responsibility for in-scope DME, minimizing internal handoffs and cost variability while aligning workflows to your plan’s clinical and administrative processes.
Built for performance and compliance
Gain visibility and control with real-time dashboards tracking utilization, cost, and SLA performance. We standardize documentation, fulfillment, and reporting to improve network consistency and protect payment integrity, operating under contracted turnaround times and regular performance reviews.
Scalable partnership aligned to your goals
Scale confidently across Medicare Advantage, Duals, Exchange, and Commercial lines of business. Synapse tailors benefit design, documentation, and cost-share logic to plan policy and supports rapid, multi-state implementation—typically within 30 days from contract to go-live.
Improving member experience and satisfaction
We ensure timely, accurate delivery of medically necessary equipment—reducing delays and denials. Clear education, simple coordination, and responsive support drive higher satisfaction and adherence, improving CAHPS performance and reducing DME-related grievances.

How the Synapse Health process works

1
Order placed
Orders arrive via Synapse Connect, fax, email, or EHR.
2
Coverage confirmed
We verify benefits, check documentation, and pair the order with the right provider.
3
Patient coordination
We confirm needs, review cost-share, and schedule delivery.
4
Equipment delivered
A trusted DME provider fulfills the order and confirms completion to the care team
Order placed
Orders arrive via Synapse Connect, fax, email, or EHR.
Coverage confirmed
We verify benefits, check documentation, and pair the order with the right provider.
Patient coordination
We confirm needs, review cost-share, and schedule delivery.
Equipment delivered
A trusted DME provider fulfills the order and confirms completion to the care team

Answers to Common Questions

What is Synapse Health’s role in the DME process?

Synapse Health serves as a technology-enabled platform that streamlines the ordering, fulfillment, and management of Durable Medical Equipment (DME). We work with payors, providers, and suppliers to simplify workflows, improve efficiency, and enhance member experience.

How does Synapse Health ensure compliance with CMS and state regulations?

Our processes are designed to align with applicable CMS guidelines and state-specific requirements. We maintain rigorous documentation standards and implement compliance checks throughout the DME lifecycle to support regulatory adherence.

What cost savings or efficiencies can Synapse Health provide?

Synapse Health helps reduce administrative burden by automating manual processes, improving order accuracy, and optimizing supplier selection. These efficiencies can lead to lower operational costs and improved resource utilization for payors.

How does Synapse Health handle prior authorizations and medical necessity reviews?

Our platform supports prior authorization workflows and facilitates medical necessity documentation. We work within payor guidelines to ensure that required information is collected and submitted accurately.

What measures are in place to ensure timely delivery of DME to members?

Synapse Health partners with a network of credentialed suppliers and uses automated order tracking to help ensure timely fulfillment. While delivery times may vary by location and product availability, we prioritize efficiency and transparency.

How does Synapse Health manage provider and supplier networks?

We maintain a vetted network of providers and suppliers that meet quality and compliance standards. Our credentialing process includes verification of licensure, accreditation, and adherence to regulatory requirements.

What support does Synapse Health provide for members and providers?

Synapse Health offers dedicated support through multiple channels, including phone and online assistance via a Patient Portal. Our team helps resolve order issues, answer questions, and provide guidance to ensure a smooth experience for members and providers.

Improve your DME performance

Book a demo to see how Synapse Health delivers measurable cost control, simplified operations, and higher member satisfaction.

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