The AI Agent-powered CX platform for regulated industries

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

Support for shipping / delivery issues, returns and reshipment

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

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

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

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

Support for member app download and app and portal initial registration

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

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

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

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

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

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

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

Shipment status updates

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

Patient appointment setting support with reminders and ability to reschedule

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

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

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

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

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

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

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

Proactively reach out to Policy Holders after a Disaster, such as storm, wildfire, or flood to connect them to required services and relief, and to file any Claims if required.

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)

Ability for providers to request clinical guidelines

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

Ability for members to opt in to digital communications

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

Education and scheduling of Medication Reconciliation 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.

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

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

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

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

Proactive notifications of appointment availability for patients on wait lists

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

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

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

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

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

Ability for members to opt in to digital communications

Shipment status updates

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

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

Delivery of member ID cards digitally

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

Securely accept full or partial payment of outstanding premium amount.

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

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

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

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

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

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

Confirmation of medication, immunization, DME orders / refills

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

Support for education and 90-day fill conversion

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

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

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

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

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

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

Understand root causes of medication non-adherence and overcome them

Securely accept full or partial payment of outstanding installment amount.

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

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

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

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

Surveying capability for experiences and NPS scoring

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

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

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

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

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

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

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

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

Patient education on provider and information and documentation completion

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

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

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

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

Education and scheduling of Medication Reconciliation

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

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

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

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

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

Support for education and retail-to-mail conversion

Patient appointment setting support with reminders and ability to reschedule

Ongong adult preventative wellness education, appointment setting and other actions

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

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

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

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

Securely upload a signed HIPAA release form from the Claimant.