The AI Agent-powered CX platform for regulated industries

Education on benefits of mail order delivery and Rx transfer support

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

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

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, prior authorization status

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

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

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

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

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

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

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

Refill reminders and ordering facilitation (including payment capture)

Proactively reach out to delinquent Borrowers to educate them on eligible Loan Modification options available and support their decision.

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

Support medication adherence with retail, mail order and 90-day refill request support

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

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

Securely upload a signed HIPAA release form from the Claimant.

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

Understand root causes of medication non-adherence and overcome them

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

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

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

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

Support for Applicants to find Insurance Plan options that best fit their needs.

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

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

Proactive notifications of appointment availability for patients on wait lists

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

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

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

Education and appointment setting support for Vaccination with appointment reminders and reschedules

Update Borrower information and contact preferences.

Extract Vision 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

Education on cost tranparency and cost relief options

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

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

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

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

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

Patient education on provider and information and documentation completion

Support for education and retail-to-mail conversion

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

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

Education on benefits of mail order delivery and Rx transfer support

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

Ability for Borrowers to opt in to digital communications.

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

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

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

Ability for members to opt in to digital communications

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

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

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

Surveying capability for experiences and NPS scoring

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

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

Patient appointment setting support with reminders and ability to reschedule

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

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

Support for education and 90-day fill conversion

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

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

Support for shipping / delivery issues, returns and reshipment

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

Shipment status updates

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

Guide the Policy Holder through renewing their policy.

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

Provide Member with the current status of a Claim.

Securely accept full or partial payment of outstanding premium amount.

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

Education and scheduling of Medication Reconciliation

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

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

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

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

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

Shipment status updates

Guide the Member through potential insurance benefits and available workplace accommodations, reduced hours, and reassignments to help them decide between different disability options.

Ongoing pediatric preventative wellness education, appointment setting and other actions

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

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

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

Patient appointment setting support with reminders and ability to reschedule

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

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

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

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

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

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

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

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

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

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

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