The AI Agent-powered CX platform for regulated industries

Education and connectivity to support resources for incontenence

Education and scheduling of Medication Reconciliation appointments

Update Policy Holder information and contact preferences.

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

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

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

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

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

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

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

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

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

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

Shipment status updates

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

Confirmation of medication, immunization, DME orders / refills

Support for shipping / delivery issues, returns and reshipment

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

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

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

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

Delivery of member ID cards digitally

Update Member information and contact preferences.

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

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

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

Surveying capability for experiences and NPS scoring

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

Support for education and retail-to-mail conversion

Securely accept full or partial payment of outstanding premium amount.

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

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

Patient appointment setting support with reminders and ability to reschedule

Proactive notifications of appointment availability for patients on wait lists

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

Provide Policy Holder with the current status of a Claim.

Completion of forms and e-signing records transfer paperwork

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

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

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

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

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

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

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

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

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

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

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

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

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

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.

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

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

Support for Applicants to find Lending options that best fits their needs.

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

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

Patient appointment setting support with reminders and ability to reschedule

Support for member app download and app and portal initial registration

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

Understand root causes of medication non-adherence and overcome them

Support for appropriate site of care with appointment setting

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

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

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

Ongoing pediatric preventative wellness education, appointment setting and other actions

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

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

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

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

Ability for Borrowers to opt in to digital communications.

Answer Member questions on Plan benefits, coverage, and eligibility.

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

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

Support for education and retail-to-mail conversion

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

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 providers to inquire about claim status, adjudication and payments

Patient appointment setting support with reminders and ability to reschedule

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

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

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

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

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

Education and notices on Explanation of Benefits (EOB)

Support for shipping / delivery issues, returns and reshipment

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

Support for education and retail-to-mail conversion

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

Ability for members to opt in to digital communications

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

Ability for Members to opt in to digital communications.

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

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

Ability for members to inquire about eligibility and verify out of pocket costs

Ability for members to opt in to digital communications

Ongoing pediatric preventative wellness education, appointment setting and other actions

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

Ongong adult preventative wellness education, appointment setting and other actions

Shipment status updates