The AI Agent-powered platform for customer experience

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

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

Surveying capability for experiences and NPS scoring

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

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

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

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

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

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

Ongong adult preventative wellness education, appointment setting and other actions

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

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

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

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

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

Education and scheduling of Medication Reconciliation

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

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

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

Patient appointment setting support with reminders and ability to reschedule

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

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

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

Securely accept full or partial payment of outstanding premium amount.

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

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

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

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

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

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.

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

Click-to-call or chat to speak to other clinical staff member when needed

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

Provide Member with the current status of a Claim.

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

Ongoing pediatric preventative wellness education, appointment setting and other actions

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

Patient appointment setting support with reminders and ability to reschedule

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

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

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

Proactive notifications of appointment availability for patients on wait lists

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

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

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

Refill reminders and ordering facilitation (including payment capture)

Education and scheduling of Medication Reconciliation

Understand root causes of medication non-adherence and overcome them

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

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

Education on benefits of mail order delivery and Rx transfer support

Patient education on provider and information and documentation completion

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

Remind and support borrower in securely uploading required supporting KYC documents during Onboarding.

Support for provider credentialing information submission and status updates

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

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

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

Guide the Policy Holder through cancelling their policy.

Ability for Borrowers to opt in to digital communications.

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

Notifications to educate on the importance of adult and pediatric preventative care, related appointment setting

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

Ongong adult preventative wellness education, appointment setting and other actions

Support for education and brand to generic fill conversion

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

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

Securely collect proof of Active Duty Servicemembers in order to trigger financial protections.

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

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

Securely upload a signed HIPAA release form from the Claimant.

Support for education and 90-day fill conversion

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

Education and connectivity to support resources for fall prevention (movement, home safety...)

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

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

Ability for members to opt in to digital communications

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

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

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

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

Update Policy Holder information and contact preferences.

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

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

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

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

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

Support for education and 90-day fill conversion

Support for member app download and app and portal initial registration

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

Education and connectivity to support resources for incontenence

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

Shipment status updates

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

Shipment status updates

Education and scheduling of Medication Reconciliation appointments

Support for shipping / delivery issues, returns and reshipment

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

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