The AI Agent-powered platform for customer experience

Proactive notifications of appointment availability for patients on wait lists

Education and scheduling of Medication Reconciliation

Sharing of pre visit instructions with ability to automate answers to inquiries

Medication Adherence (overcome barriers - cost, transportation, adverse effects)

Member appointment reminders for care management, provider appointments (any type), home health visits and more

Education on when to use sites of care that are alternatives to the ER (telehealth, urgent care)

Securely accept full or partial payment of outstanding premium amount.

Overview of PBM support and services and population health and quality programs

Remind and support Member in securely uploading required supporting KYC documents during Policy Review.

Ability for members to understand and file Grievances, and receive status updates

Support for understanding and accessing SDOH resources such as nutrition, transportation

Patient appointment setting support with reminders and ability to reschedule

Confirm Claimant's Return to Work date as well as any supporting documentation from the doctor.

Ability for clinical representatives to chat within Ushur journeys, and to warm call transfer to them (RN, Pharma, Care Manager)

Support for shipping / delivery issues, returns and reshipment

Ability for member service representatives to chat within Ushur journeys, and to warm call transfer to them

Support for finding an in network provider and setting appointment via click-to-call or scheduling system integration

Extract Critical Illness related keys required for underwriting from structured Census files, semi-structured Prior Year Plans, and unstructured email body.

Click-to-call or chat to speak to pharmacy staff member when needed

Notification of shipment with tracking number and delivery instructions (i.e. someone needs to be home at delivery)

Extract Long Term Disability related keys required for underwriting from structured Census files, semi-structured Prior Year Plans, and unstructured email body.

Accurate, secure and compliant AI Agent Borrower inquiry and task completion support 24x7

Remind and support borrower in securely uploading required supporting KYC documents during Onboarding.

Patient appointment setting support with visit prep instructions, reminders and ability to reschedule

Securely deliver a digital copy of Member's Insurance ID Card upon request.

New member welcome, overview of PBM supports and services, info gathering / sharing (including insurance ID card capture)

Update Borrower information and contact preferences.

Year-round support for members with Respiratory Disease - including education, wellness, care gap closure, appointment setting

Education and connectivity to support resources for incontenence

Support for education and brand to generic fill conversion

Notifications to educate on the importance of care plan adherence, related appointment setting

Member information updates – including cross-channel contact details and change of insurance

Ability for members to opt in to digital communications

Support for education and retail-to-mail conversion

Post care and pharmacy visit surveys to understand experience gaps for proactive outreach and support as needed

Securely deliver a digital copy of Policy Holder's Insurance ID Card upon request.

Education and appointment setting support for Annual Wellness Visits (AWV) with appointment reminders and reschedules

Support Applicants in finding Insurance Plan options that best fit their needs.

Click-to-call or chat to speak to other clinical staff member when needed

Ongong adult preventative wellness education, appointment setting and other actions

Safe and secure collection of payment information (credit, debit, ACH) to pass to payment processing

Automatically triage incoming servicing emails to identify intent and respond to service requests.

Support for education and retail-to-mail conversion

Support for member ongoing utilization of website, traditional apps and portals

Accurate, secure and compliant AI Agent patient inquiry and task completion support 24x7

Support for understanding and accessing SDOH resources such as nutrition, transportation

Medication Adherence (overcome barriers - cost, transportation, adverse effects)

Support for member retention with ongoing redetermination process education, support and services - until redetermination is complete

Year-round support for members with Behavioral Health conditions - including education, wellness, care gap closure, appointment setting

Ability for service or sales representatives to chat within Ushur journeys, and to warm call transfer to them

Ability for members to receive push notices for, or make inquiries about, claims status

Confirmation of medication, immunization, DME orders / refills

Ability for providers to request clinical guidelines

Support for inpatient to facility or home transitions to ensure safety and decrease readmissions

Extract Voluntary Life related keys required for underwriting from structured Census files, semi-structured Prior Year Plans, and unstructured email body.

Education, navigation support and appointment setting for any preventative wellness care gap (immunizations, cancer screenings)

Proactively reach out to Policy Holders after a Disaster, such as storm, wildfire, or flood to connect them to required services and relief, and to file any Claims if required.

Provide Member with the current status of a Claim.

Ability for members to receive push notices for, or make inquiries about, prior authorization status

Sharing of pre visit preparation instructions with ability to automate answers to inquiries

Ability for service or sales representatives to chat within Ushur journeys, and to warm call transfer to them

Ability for any provider to update their roster information for provider directory accuracy

Notifications to educate on the importance of adult and pediatric preventative care, related appointment setting

Education and appointment setting support for Vaccination with appointment reminders and reschedules

Education, navigation support and appointment setting for any preventative wellness care gap (immunizations, cancer screenings)

Support for education and 90-day fill conversion

Shipment status updates

Ability for service representatives to chat within Ushur journeys, and to warm call transfer to them

Safe and secure collection of payment information (credit, debit, ACH) to pass to payment processing

Schedule follow up call with Sales Representative with reminders and rescheduling.

Accurate, secure and compliant AI Agent member inquiry and task completion support 24x7

Patient support in finding in network doctors (of any type) that best fit their needs

Education, navigation support and appointment setting for any chronic condition care gap (diabetes, CKD...)

Accurate, secure and compliant AI Agent patient inquiry and task completion support 24x7

Ability for Members to opt in to digital communications.

Ongoing pediatric preventative wellness education, appointment setting and other actions

Remind and support Applicant in securely uploading required supporting documents post Application.

Education, navigation support and appointment setting for any chronic condition care gap (diabetes, CKD...)

Educate the Member on available workplace acommodations, reduced hours, and reassignment programs available through their employer.

Bill delivery with safe and secure collection of payment information (credit, debit, ACH) to pass to payment processing

Completion of forms and e-signing records transfer paperwork

Surveying capability for experiences and NPS scoring

Shipment status updates

Guide the Policy Holder through reporting a loss and filing a Claim.

Ability for providers to inquire about claim status, adjudication and payments

Accurate, secure and compliant AI Agent provider inquiry and task completion support 24x7

Education and appointment setting support for Cancer Screening with appointment reminders and reschedules

Surveying capability for experiences and NPS scoring

Ability for Borrowers to opt in to digital communications.

Collect detailed delivery information, hospital discharge summaries from the Claimant to trigger benefits.

Extract Basic Life related keys required for underwriting from structured Census files, semi-structured Prior Year Plans, and unstructured email body.

Reach out to delinquent Borrowers with empathy to identify circumstances such as job loss, illness, divorce, deployment that may be eligible for relief measures.

Support for member education on benefits and how to utilize them throughout the plan year

Member welcome notifications that educate on plan benefits, deliver digital ID cards

Guide the Claimant through the process of reporting the death of a Policy Holder and filing a Claim.

Automatically triage incoming servicing emails to identify intent and respond to service requests.

Patient education on provider and information and documentation completion

Securely collect proof of Active Duty Servicemembers in order to trigger financial protections.

New member welcome, overview of PBM supports and services, info gathering / sharing (including insurance ID card capture)