The AI Agent-powered platform for customer experience

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

Guide the new Member through a dynamic set of questions to determine their eligibiity for Insurance.

Education and scheduling of Medication Reconciliation

Guide the Policy Holder through renewing their policy.

Ability for providers to request clinical guidelines

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

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

Education and notices on Explanation of Benefits (EOB)

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

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

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

Support for education and retail-to-mail conversion

Support for review and e-signature for new patient paperwork

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

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

Guide the Member through potential insurance benefits and available workplace accommodations, reduced hours, and reassignments to help them decide between different disability options.

Support for Applicants to find Lending options that best fits their needs.

Collect detailed surgical information, including operative reports, discharge summaries, and post-operative recovery plans from the Claimant.

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

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

Patient appointment setting support with reminders and ability to reschedule

Identify Census files in an inbound RFP and Transform the file to the standard format required by the Carrier and identify any issues.

Education on benefits of mail order delivery and Rx transfer support

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

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

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

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

Ongong adult preventative wellness education, appointment setting and other actions

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

Support for education and brand to generic fill conversion

Support for provider credentialing information submission and status updates

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

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

Support for member retention with renewal education and reminders

Securely upload a signed HIPAA release form from the Claimant.

Update Member information and contact preferences.

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

Ability for Members to opt in to digital communications.

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

Ability for members to opt in to digital communications

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

Education and scheduling of Medication Reconciliation appointments

Support for shipping / delivery issues, returns and reshipment

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

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

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

Update Borrower information and contact preferences.

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

Provide Member with the current status of a Claim.

Education and scheduling of Medication Reconciliation appointments

Provide Borrower with the current status of a payment made to their account.

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

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

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

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

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

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

Collection of member information updates such as adding dependants, changing address, etc

Guide Borrower through requesting an official Payoff Letter for their loan.

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

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

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

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

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

Ability for Borrowers to opt in to digital delivery of Statements.

Support for education and 90-day fill conversion

Provide Policy Holder with the current status of a Claim.

Securely accept full or partial payment of outstanding premium amount.

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

Confirmation of medication, immunization, DME orders / refills

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

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

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

Social Determinant of Health SDOH survey completion with feeds to core systems for follow-up

Shipment status updates

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

Proactive invitations and RSVPs for community events and meetings (virtual and in person)

Support for education and 90-day fill conversion

Ability to send notifications to members more timely to meet regulatory timing requirements

Understand root causes of medication non-adherence and overcome them

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

Proactive Rx status notifications (fill status, issues like prior auth)

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

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

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

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

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

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

Patient appointment setting support with reminders and ability to reschedule

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

Year-round support for diabetic members including education, wellness, care gap closure, appointment setting

Shipment status updates

Patient appointment setting support with reminders and ability to reschedule

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

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.