The AI Agent-powered platform for customer experience

Support for shipping / delivery issues, returns and reshipment

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

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

Education on cost tranparency and cost relief options

Ability for Policy Holders to opt in to digital communications.

Support for education and retail-to-mail conversion

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Ongong adult preventative wellness education, appointment setting and other actions

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

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

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

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

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

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

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

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

Guide the Policy Holder through renewing their policy.

Securely accept full or partial payment of outstanding premium amount.

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

Education on benefits of mail order delivery and Rx transfer support

Support for appropriate site of care with appointment setting

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

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

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

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

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

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

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

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

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

Confirmation of medication, immunization, DME orders / refills

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

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

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

Support for member app download and app and portal initial registration

Update Member information and contact preferences.

Notifications to educate on the importance of Care Management and set appointments

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

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

Support for education and retail-to-mail conversion

Support for finding an in network provider and setting appointment via click-to-call or scheduling system integration

Update Borrower information and contact preferences.

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

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

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

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

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

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

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

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.

Patient appointment setting support with visit prep instructions, reminders and ability to reschedule

Patient appointment setting support with reminders and ability to reschedule

Education and scheduling of Medication Reconciliation appointments

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

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

Provide Member with the current status of a Claim.

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

Sharing of lab tests and results

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

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

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

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

Patient appointment setting support with reminders and ability to reschedule

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

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

Surveying capability for experiences and NPS scoring

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

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

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

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

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

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

Education and notices on Explanation of Benefits (EOB)

Patient appointment setting support with reminders and ability to reschedule

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

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

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

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

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

Member welcome notifications that educate on plan benefits, deliver digital ID cards

Providing out of pocket cost transparency via Good Faith Estimates