The AI Agent-powered CX platform for regulated industries

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

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

Support for member app download and app and portal initial registration

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

Provide Policy Holder with the current status of a payment on a Claim.

Support for appropriate site of care with appointment setting

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

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

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

Understand root causes of medication non-adherence and overcome them

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

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

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

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

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

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

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

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

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

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

Education and connectivity to support resources for incontenence

Proactive notifications of appointment availability for patients on wait lists

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

Support for shipping / delivery issues, returns and reshipment

Patient appointment setting support with reminders and ability to reschedule

Ability for Members to opt in to digital communications.

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

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

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

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

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

Support for education and retail-to-mail conversion

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

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

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

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

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.

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

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

Ability for members to opt in to digital communications

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

Update Member information and contact preferences.

Support for education and retail-to-mail conversion

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

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

Education on cost tranparency and cost relief options

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

Support for education and brand to generic fill conversion

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

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

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

Ability for Policy Holders to opt in to digital communications.

Education and scheduling of Medication Reconciliation appointments

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

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

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

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

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

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

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

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

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

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

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

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

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

Securely accept full or partial payment of outstanding installment amount.

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

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

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

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

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

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

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

Refill reminders and ordering facilitation (including payment capture)

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

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

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

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

Ability for providers to request clinical guidelines

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

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

Shipment status updates

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

Securely upload a signed HIPAA release form from the Claimant.

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

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

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

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

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

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

Support for shipping / delivery issues, returns and reshipment

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

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

Guide the Policy Holder through cancelling their policy.

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

Confirmation of medication, immunization, DME orders / refills

Patient education on provider and information and documentation completion

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