The AI Agent-powered CX platform for regulated industries

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

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

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

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

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

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

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

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

Answer policy holder questions on Plan benefits, coverage, and eligibility.

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

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

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

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

Education on cost tranparency and cost relief options

Shipment status updates

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

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

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

Ongong adult preventative wellness education, appointment setting and other actions

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

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

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

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

Patient appointment setting support with reminders and ability to reschedule

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

Completion of forms and e-signing records transfer paperwork

Collect Member's bank details and payment information to ensure that Group Insurance coverage transitions to Individual coverage after employment ends.

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

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

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

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

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

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

Support for review and e-signature for new patient paperwork

Provide Member with the current status of a Claim.

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

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

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

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

Securely accept full or partial payment of outstanding installment amount.

Support for education and brand to generic fill conversion

Ability for members to opt in to digital communications

Surveying capability for experiences and NPS scoring

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

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

Guide the Policy Holder through renewing their policy.

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

Shipment status updates

Securely upload a signed HIPAA release form from the Claimant.

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...)

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

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

Refill reminders and ordering facilitation (including payment capture)

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

Education on cost tranparency and cost relief options

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

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

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

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

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

Education and scheduling of Medication Reconciliation appointments

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

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

Patient appointment setting support with reminders and ability to reschedule

Support for shipping / delivery issues, returns and reshipment

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

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

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.

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

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

Surveying capability for experiences and NPS scoring

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

Support for shipping / delivery issues, returns and reshipment

Education and scheduling of Medication Reconciliation appointments

Confirmation of medication, immunization, DME orders / refills

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

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

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

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

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

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

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

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

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

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

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

Full Health Risk / Needs Survey completion with feeds to core systems for follow-up

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

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

Support for education and brand to generic fill conversion

Update Member information and contact preferences.

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

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

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

Ability for Borrowers to opt in to digital communications.

Support for education and retail-to-mail conversion

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

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

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