The AI Agent-powered CX platform for regulated industries

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

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

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

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

Ability for Members to opt in to digital communications.

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

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

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

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

Guide the Policy Holder through cancelling their policy.

Support for shipping / delivery issues, returns and reshipment

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

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

Understand root causes of medication non-adherence and overcome them

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 chronic condition care gap (diabetes, CKD...)

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 pharma representatives to chat within Ushur journeys, and to warm call transfer to them

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

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

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

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

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

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

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

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

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

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

Education and scheduling of Medication Reconciliation appointments

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

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

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

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

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

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

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

Ability for members to opt in to digital communications

Education and scheduling of Medication Reconciliation

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

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

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

Securely accept full or partial payment of outstanding installment amount.

Completion of forms and e-signing records transfer paperwork

Shipment status updates

Patient appointment setting support with reminders and ability to reschedule

Support for appropriate site of care with appointment setting

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

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

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

Ongong adult preventative wellness education, appointment setting and other actions

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

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

Education on cost tranparency and cost relief options

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

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

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.

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

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

Ability for service 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

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

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

Ongoing pediatric preventative wellness education, appointment setting and other actions

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

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

Support for review and e-signature for new patient paperwork

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

Ability for members to opt in to digital communications

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

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

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

Support for education and 90-day fill conversion

Shipment status updates

Support for shipping / delivery issues, returns and reshipment

Provide Policy Holder with the current status of a Claim.

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

Education on cost tranparency and cost relief options

Ability for Borrowers to opt in to digital delivery of Statements.

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

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

Ongoing pediatric 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

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

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

Support for member app download and app and portal initial registration

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

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

Update Borrower information and contact preferences.

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

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

Ability for providers and pharmacies to perform eligibilty and benefits verification at the member level

Surveying capability for experiences and NPS scoring

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

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

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

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

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

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

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