The AI Agent-powered CX platform for regulated industries

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

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

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

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

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

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

Guide the Policy Holder through renewing their policy.

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

Remind and support Claimant in securely uploading required supporting documents for a Claim.

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

Identify Census files in an inbound RFP and Transform the file to the standard format required by the Carrier and identify any issues.

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

Sharing of lab tests and results

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

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

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

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.

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

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

Support for education and 90-day fill conversion

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

Shipment status updates

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

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...)

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

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

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

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

Support for shipping / delivery issues, returns and reshipment

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

Ability for members to opt in to digital communications

Support for member app download and app and portal initial registration

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

Ability for Policy Holders to opt in to digital communications.

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

Education and scheduling of Medication Reconciliation

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

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

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

Ongoing pediatric preventative wellness education, appointment setting and other actions

Bill delivery with 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

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

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

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 any provider to update their roster information for provider directory accuracy

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

Education and scheduling of Medication Reconciliation

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

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

Patient education on provider and information and documentation completion

Refill reminders and ordering facilitation (including payment capture)

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

Ongong adult preventative wellness education, appointment setting and other actions

Education on benefits of mail order delivery and Rx transfer support

Surveying capability for experiences and NPS scoring

Support for education and retail-to-mail conversion

Support for education and brand to generic fill conversion

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

Year-round support for diabetic members including education, wellness, care gap closure, appointment setting

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

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

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

Education on cost tranparency and cost relief options

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

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

Education and notices on Explanation of Benefits (EOB)

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

Understand root causes of medication non-adherence and overcome them

Patient appointment setting support with reminders and ability to reschedule

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

Support for member app download and app and portal initial registration

Provide Member with the current status of a Claim.

Support for education and retail-to-mail conversion

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

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

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

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

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

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

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

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

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

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

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

Support for education and brand to generic fill conversion

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

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

Education and scheduling of Medication Reconciliation appointments

Ongong adult preventative wellness education, appointment setting and other actions

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

Securely accept full or partial payment of outstanding premium amount.

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

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

Support for review and e-signature for new patient paperwork

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