The AI Agent-powered platform for customer experience

Refill reminders and ordering facilitation (including payment capture)

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

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

Securely accept full or partial payment of outstanding premium amount.

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

Guide the Policy Holder through re-instating a lapsed policy.

Ongoing pediatric preventative wellness education, appointment setting and other actions

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

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

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

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

Guide the Policy Holder through cancelling their policy.

Confirmation of medication, immunization, DME orders / refills

Sharing of lab tests and results

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

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

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

Update Borrower information and contact preferences.

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

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

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

Ongong adult preventative wellness education, appointment setting and other actions

Support for education and brand to generic fill conversion

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

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

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

Support for appropriate site of care with appointment setting

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

Ability for Members to opt in to digital communications.

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

Extract Accidental Death and Dismemberment 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

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

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

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

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

Update Policy Holder 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.

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

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

Shipment status updates

Provide Member with the current status of a Claim.

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

Ability for providers to request clinical guidelines

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

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

Ability for members to opt in to digital communications

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

Ongong adult preventative wellness education, appointment setting and other actions

Ongoing pediatric preventative wellness education, appointment setting and other actions

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

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

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

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

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

Ability for Borrowers to opt in to digital communications.

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

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

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

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

Education and scheduling of Medication Reconciliation appointments

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

Shipment status updates

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

Proactive notifications of appointment availability for patients on wait lists

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

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

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

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

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

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

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

Understand root causes of medication non-adherence and overcome them

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

Support for education and 90-day fill conversion

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

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

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

Patient appointment setting support with reminders and ability to reschedule

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

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

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

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

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

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

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

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

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

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

Support for education and 90-day fill conversion

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

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

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

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

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

Surveying capability for experiences and NPS scoring

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

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

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