The AI Agent-powered platform for customer experience

Refill reminders and ordering facilitation (including payment capture)

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

Ability for Members to opt in to digital communications.

Ongong adult preventative wellness education, appointment setting and other actions

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

Support for review and e-signature for new patient paperwork

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

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

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

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

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

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

Sharing of lab tests and results

Proactive notifications of appointment availability for patients on wait lists

Securely upload a signed HIPAA release form from the Claimant.

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

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

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

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

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

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.

Understand root causes of medication non-adherence and overcome them

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

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

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

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

Respond to Policy Holder requests for copies of Certificate of Insurance (COI) with secure delivery of documents.

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

Support for provider credentialing information submission and status updates

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

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

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

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

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

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

Guide the Claimant through the process of reporting the death of a Policy Holder and filing a Claim.

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

Support for shipping / delivery issues, returns and reshipment

Update Borrower information and contact preferences.

Securely accept full or partial payment of outstanding premium amount.

Provide Borrower with the current status of a payment made to their account.

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

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

Collect detailed delivery information, hospital discharge summaries from the Claimant to trigger benefits.

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

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

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

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

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

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

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

Shipment status updates

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

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

Ability for members to opt in to digital communications

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

Ongong adult preventative wellness education, appointment setting and other actions

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

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

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

Delivery of member ID cards digitally

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

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

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

Ability for Policy Holders to opt in to digital communications.

Providing out of pocket cost transparency via Good Faith Estimates

Surveying capability for experiences and NPS scoring

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

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

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

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

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

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

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

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

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

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

Securely accept full or partial payment of outstanding installment amount.

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

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

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

Patient appointment setting support with reminders and ability to reschedule

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

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

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

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

Education and notices on Explanation of Benefits (EOB)

Patient appointment setting support with reminders and ability to reschedule

Support for shipping / delivery issues, returns and reshipment

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

Education and scheduling of Medication Reconciliation appointments

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

Support for education and brand to generic fill conversion

Shipment status updates

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

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

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

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

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