The AI Agent-powered platform for customer experience

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

Ongoing pediatric preventative wellness education, appointment setting and other actions

Education on cost tranparency and cost relief options

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

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

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

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

Proactively reach out to Policy Holders prior to a disaster, such as storm, wildfire, or flood and educate them on preparedness.

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

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

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

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

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

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

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

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

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

Ability for members to opt in to digital communications

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

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

Education and scheduling of Medication Reconciliation appointments

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

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

Guide the Claimant through reporting an injury and filing a Claim.

Refill reminders and ordering facilitation (including payment capture)

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

Support for education and 90-day fill conversion

Ability for Borrowers to opt in to digital communications.

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

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

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

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

Support for education and brand to generic fill conversion

Refill reminders and ordering facilitation (including payment capture)

Education and scheduling of Medication Reconciliation

Update Member information and contact preferences.

Securely accept full or partial payment of outstanding premium amount.

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

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

Support for member app download and app and portal initial registration

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

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

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

Patient education on provider and information and documentation completion

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

Update Beneficiaries and respond to major life events to ensure Member's benefits are paid to intended individuals.

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

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

Education on cost tranparency and cost relief options

Guide the Policy Holder through renewing their policy.

Support for education and 90-day fill conversion

Ability for members to opt in to digital communications

Support for member retention with renewal education and reminders

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

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

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

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

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

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

Patient appointment setting support with reminders and ability to reschedule

Guide the Broker / Employer through the information required from them to onboard them into the Carrier's core systems.

Ongoing pediatric preventative wellness education, appointment setting and other actions

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

Ongong adult preventative wellness education, appointment setting and other actions

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

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

Provide Member with the current status of a Claim.

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

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

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

Education and scheduling of Medication Reconciliation appointments

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

Support for education and retail-to-mail conversion

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

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.

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

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

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

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

Education and scheduling of Medication Reconciliation appointments

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

Ability for members to opt in to digital communications

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

Support Borrowers with advice, reminders, and empathy to guide them towards financially healthy payment behavior.

Update Borrower information and contact preferences.

Notifications to educate on the importance of chronic condition management, related appointment setting

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

Ability for service 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, prior authorization status

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

Proactively detect issues and escalate them as tickets to reduce complaints and improve satisfaction.

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

Understand root causes of medication non-adherence and overcome them

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

Education and scheduling of Medication Reconciliation

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

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

Education on benefits of mail order delivery and Rx transfer support

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

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