Innov8 Tools

Products / Specialty / Reference-Based Pricing Networks

6D

6 Degrees Health

Public facts

Reference-based pricing and payment integrity

RBP, out-of-network, transplant/specialty, and payment-integrity vendor using the MediVI analytics platform and MediShield legal support.

Visit 6degreeshealth.com

Overview

6 Degrees Health (6 Degrees Health Dx, LLC) sells reference-based pricing and payment-integrity programs to self-funded employers and their TPAs. Public products include RBP health plans, custom out-of-network solutions, out-of-network transplant and specialty contracting, clean claim / itemized bill review, and data-mining recovery. The MediVI software platform supplies reimbursement analytics, benchmarking, code research, and a member/client portal. The company cites 20–40% savings versus traditional PPO plans; those figures are vendor-stated.

Why it matters 6 Degrees is a dedicated RBP and payment-integrity shop with a named analytics stack (MediVI) and legal wrap (MediShield), not a rental PPO.

Target buyer
Self-funded employers, TPAs, and brokers designing RBP or OON cost-containment programs.
Pricing model
Not published; custom RBP and payment-integrity quote
Vendor cites 20–40% savings vs traditional PPO, 137% average Medicare reimbursement, 950K+ Professional Plus contracted providers, and 96% savings off disputed charges with MediShield. No PEPM list.
Availability
National
Research
Last researched 2026-08-23
Public facts category

Key features

  • Reference-based pricing and metric-based provider contracts
  • Facility and professional claims repricing, including Professional Plus (physician-only wrap)
  • MediVI analytics: benchmarking, code research, provider search, mobile case submission
  • MediShield legal representation and co-fiduciary language for disputed charges
  • Clean claim / itemized bill review and data-mining recovery
  • Custom out-of-network solutions and OON transplant/specialty contracts
  • OnRamp two-phase implementation and Call Ahead provider outreach
  • MediCash prepay option and No Surprises Act support (vendor-stated)

Integrations

  • Claims System and MediVI client portal
  • Custom member app (desktop and mobile provider search, click-to-call)
  • TPA / vendor integration during OnRamp implementation

Overview

6 Degrees Health markets concierge-style reference-based pricing and payment integrity to employers that want to replace or wrap a traditional PPO. Employer pages group the work into RBP health plans, custom out-of-network solutions, and transplant/specialty contracting. Payment-integrity pages add clean claim reviews (itemized bill review of inpatient hospital claims) and a data-mining recovery program that the company says collects overpayments with no provider abrasion.

Legal entity on the site footer is 6 Degrees Health Dx, LLC. Platforms named in public materials are the Claims System and MediVI.

Key Capabilities

  • RBP repricing of facility and professional claims; Professional Plus is described as a physician-only wrap with 950K+ contracted providers.
  • MediVI: reimbursement analytics for audits, contracting, claim negotiations, and RBP; client portal with real-time reporting, a recent-cases dashboard, and multi-plan views.
  • Member tools: customized provider search, click-to-call, live case support, and mobile case submission.
  • MediShield legal support, described with co-fiduciary responsibility and 96% savings off disputed charges.
  • OnRamp two-phase implementation and a Call Ahead program to connect members with physicians.
  • MediCash prepay, NSA support, and an integrated contracting team for billing and access issues.
  • Payment integrity: inpatient clean claim / IBR reviews and data mining for eligibility, adjudication, provider-data, and contract-compliance overpayments.

Integrations & Ecosystem

Public materials emphasize TPA and vendor integration at implementation rather than a published connector list. Members and clients use MediVI on web and mobile. Limited CMS datasets are offered at no cost for research under a Non-Commercial Master Service Agreement.

Pricing

Sponsor pricing is quote-based. The company publishes outcome claims (20–40% vs PPO; up to 40% incremental savings; 137% of Medicare as an average reimbursement rate) rather than a PEPM or percent-of-savings schedule.

Notes & Limitations

  • Savings, Medicare-multiple, provider-count, and MediShield percentages are company-reported.
  • 6 Degrees is a cost-containment vendor, not a licensed health insurer or a full TPA.
  • RBP still depends on plan language, stop-loss acceptance, and member/provider abrasion management.

Sources

Tags: RBP · payment integrity · out-of-network · transplant · MediVI