The AI Agent-powered platform for customer experience

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

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

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

Patient appointment setting support with reminders and ability to reschedule

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

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

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

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

Update Member information and contact preferences.

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

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

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

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

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

Provide Member with the current status of a Claim.

Sharing of lab tests and results

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

Support for education and retail-to-mail conversion

Ability for Members to opt in to digital communications.

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

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

Education on benefits of mail order delivery and Rx transfer support

Support for member app download and app and portal initial registration

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

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

Shipment status updates

Support for education and brand to generic fill conversion

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

Support for education and retail-to-mail conversion

Education and scheduling of Medication Reconciliation appointments

Education and scheduling of Medication Reconciliation

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

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

Surveying capability for experiences and NPS scoring

Ability for Policy Holders to opt in to digital communications.

Guide the Policy Holder through renewing their policy.

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

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

Ability for Borrowers to opt in to digital communications.

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

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

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

Education and scheduling of Medication Reconciliation

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

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

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

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

Ability for member 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

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

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

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

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

Ability for members to opt in to digital communications

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

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

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

Provide Borrower with the current status of a payment made to their account.

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

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

Patient education on provider and information and documentation completion

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

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

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

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.

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

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

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

Support for eating well, exercising as well as weight loss medications like GLP1

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

Delivery of member ID cards digitally

Understand root causes of medication non-adherence and overcome them

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

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

Guide the Policy Holder through cancelling their policy.

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

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

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

Support for shipping / delivery issues, returns and reshipment

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

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

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.

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

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

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

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

Education on cost tranparency and cost relief options

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

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

Surveying capability for experiences and NPS scoring

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

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

Patient appointment setting support with reminders and ability to reschedule

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

Update Policy Holder information and contact preferences.

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

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

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