The AI Agent-powered platform for customer experience

Support for education and 90-day fill conversion

Triage inbound RFP emails to identify key attributes regarding Broker, Employer, Quote, and requested Products and automate case setup in Quoting and Underwriting systems.

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

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

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

Sharing of lab tests and results

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

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

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

Support for member app download and app and portal initial registration

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

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

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

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

Support for education and retail-to-mail conversion

Extract Long Term Disability 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)

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

Surveying capability for experiences and NPS scoring

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

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

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

Support for education and retail-to-mail conversion

Education and notices on Explanation of Benefits (EOB)

Completion of forms and e-signing records transfer paperwork

Securely accept full or partial payment of outstanding installment amount.

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

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.

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

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

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

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

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

Shipment status updates

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

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

Support for appropriate site of care with appointment setting

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

Refill reminders and ordering facilitation (including payment capture)

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

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

Providing out of pocket cost transparency via Good Faith Estimates

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

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

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

Member appointment setting with service or sales agents in support of their buying process

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

Ability for members to opt in to digital communications

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

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

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

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

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

Ability for providers and pharmacies to perform eligibilty and benefits verification at the member level

Member appointment setting with service or sales agents in support of their buying process

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

Shipment status updates

Surveying capability for experiences and NPS scoring

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

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

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

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

Support for review and e-signature for new patient paperwork

Ability for Members to opt in to digital communications.

Update Policy Holder information and contact preferences.

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

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

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

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

Patient appointment setting support with reminders and ability to reschedule

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

Support for education and brand to generic fill conversion

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

Education and scheduling of Medication Reconciliation appointments

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

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

Securely upload a signed HIPAA release form from the Claimant.

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

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

Education and connectivity to support resources for fall prevention (movement, home safety...)

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

Education on cost tranparency and cost relief options

Understand root causes of medication non-adherence and overcome them

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

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

Proactively reach out to delinquent Borrowers to educate them on eligible Debt Management Plan options available and support their decision.

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

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

Ongoing pediatric preventative wellness education, appointment setting and other actions

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

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

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

Support for Applicants to find Insurance Plan options that best fit their needs.

Ability for Policy Holders to opt in to digital communications.

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

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

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

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