The AI Agent-powered platform for customer experience

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

Respond to Policy Holder requests for copies of Certificate of Insurance (COI) with secure delivery of documents.

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

Ability for Borrowers to opt in to digital communications.

Refill reminders and ordering facilitation (including payment capture)

Support for eating well, exercising as well as weight loss medications like GLP1

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

Ability for members to opt in to digital communications

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

Ability for members to inquire about eligibility and verify out of pocket costs

Guide the Policy Holder through amending, adding, and removing lines of coverage to their existing policy.

Delivery of member ID cards digitally

Support for member app download and app and portal initial registration

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

Provide Member with the current status of a payment on a Claim.

Confirmation of medication, immunization, DME orders / refills

Support medication adherence with retail, mail order and 90-day refill request support

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

Support for appropriate site of care with appointment setting

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

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

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

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

Proactive provider appointment reminders with the ability to reschedule rather than no show (any provider type)

Notifications to educate on the importance of Care Management and set appointments

Securely upload a signed HIPAA release form from the Claimant.

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

Proactive member out of pocket notifications – with support for “price shocks”

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

Surveying capability for experiences and NPS scoring

Support for review and e-signature for new patient paperwork

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

Shipment status updates

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

Support for provider credentialing information submission and status updates

Education on benefits of mail order delivery and Rx transfer support

Update Policy Holder information and contact preferences.

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

Securely accept full or partial payment of outstanding premium amount.

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

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

Education and appointment setting for preventative wellness medications, immunizations and tests

Proactive member out of pocket notifications – with support for “price shocks”

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

Support member ability to search for any type of in network provider and click-to-call to set appointments

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

Member surveys of health risks and needs, SDOH and post care experience and NPS surveys

Education on cost tranparency and cost relief options

Provide Borrower with details of the current balance on their account.

Collection of cross-channel member contact information to support better communications

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

Proactively reach out to delinquent Borrowers to educate them on eligible Loan Modification options available and support their decision.

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

Member support in finding a health insurance plan that best fits their needs

Support for shipping / delivery issues, returns and reshipment

Support for education and retail-to-mail conversion

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

Ability for Policy Holders to opt in to digital communications.

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

Refill reminders and ordering facilitation (including payment capture)

Education and scheduling of Medication Reconciliation appointments

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

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

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

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

Understand root causes of medication non-adherence and overcome them

Ability for providers and pharmacies to perform prior authorization inquiries, submit forms and information, and receive status updates

Safe and secure collection of member ID card(s), driver's license images

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

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

Proactive notifications and inquiry handling about Medicare Annual Notices of Change. Including FAQ support for top ANOC call drivers

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

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

Support for finding a primary care doctor or pediatrician in network and setting appointment via click-to-call

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

Ability for Members to opt in to digital communications.

Ongoing pediatric preventative wellness education, appointment setting and other actions

Remind and support Claimant in securely uploading required supporting documents for a Claim.

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

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

Guide the Broker / Employer through uploading an updating Census file, Transforming it to the standard format required by the Carrier, and identifying any issues.

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

Remind and support Borrower in securely verifying address and contact information during KYC Reviews.

Support for education and brand to generic fill conversion

Capture of patient information updates and support for review and e-signature for new patient paperwork

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

Shipment status updates

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

Support for full maternity journeys with education, appointment setting, wellness and more

Answer Member questions on Plan benefits, coverage, and eligibility.

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

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

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

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

Ability for providers to request clinical guidelines

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

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

Sharing of medication refills and reminders with ability to capture and overcome reasons for non adherence

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

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