The AI Agent-powered CX platform for regulated industries

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

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

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

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

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

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

Education and connectivity to support resources for incontenence

Education on cost tranparency and cost relief options

Provide Member with the current status of a Claim.

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

Providing out of pocket cost transparency via Good Faith Estimates

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

Education and scheduling of Medication Reconciliation

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

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

Patient appointment setting support with reminders and ability to reschedule

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

Ability for Policy Holders to opt in to digital communications.

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

Securely upload a signed HIPAA release form from the Claimant.

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

Ongong adult preventative wellness education, appointment setting and other actions

Support for education and 90-day fill conversion

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

Education on benefits of mail order delivery and Rx transfer support

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

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

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

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

Surveying capability for experiences and NPS scoring

Provide Borrower with details of the current balance on their account.

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

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

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

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

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

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

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

Patient appointment setting support with reminders and ability to reschedule

Education and appointment setting support for Annual Wellness Visits (AWV) with appointment reminders and reschedules

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

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

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

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

Patient appointment setting support with reminders and ability to reschedule

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

Support for shipping / delivery issues, returns and reshipment

Ongoing pediatric preventative wellness education, appointment setting and other actions

Guide the Policy Holder through renewing their policy.

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

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

Click-to-call or chat to speak to Care Manager / Navigator when needed

Support for shipping / delivery issues, returns and reshipment

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

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

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

Confirmation of medication, immunization, DME orders / refills

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

Support member ability to search for any type of in network provider and click-to-call to set appointments

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

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

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

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

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

Proactive notifications of appointment availability for patients on wait lists

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

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

Support for education and retail-to-mail conversion

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

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

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

Confirm Claimant's Return to Work date as well as any supporting documentation from the doctor.

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

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

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

Update Policy Holder information and contact preferences.

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

Support for education and brand to generic fill conversion

Update Member 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.

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

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

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

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

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

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

Update Borrower information and contact preferences.

Shipment status updates

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

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

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

Reach out to delinquent Borrowers with empathy to identify circumstances such as job loss, illness, divorce, deployment that may be eligible for relief measures.

Ability for providers and pharmacies to perform prior authorization inquiries, submit forms and information, and receive status updates

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

Completion of forms and e-signing records transfer paperwork

Guide Borrower through shortfalls or excesses in their escrow account, the tax or insurance payments that led to the shortfall, and to securely accept payments for any shortfall.

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

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

Patient education on provider and information and documentation completion

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