The AI Agent-powered platform for customer experience

Ongoing pediatric preventative wellness education, appointment setting and other actions

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

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

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

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

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

Capture of patient information updates and support for review and e-signature for new patient paperwork

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

Sharing of lab tests and results

Education on cost tranparency and cost relief options

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

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

Shipment status updates

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

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

Confirmation of medication, immunization, DME orders / refills

Support for shipping / delivery issues, returns and reshipment

Support for member app download and app and portal initial registration

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

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

Provide Member with the current status of a Claim.

Ability for pharma 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.

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

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

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

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

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

Patient appointment setting support with reminders and ability to reschedule

Education on cost tranparency and cost relief options

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

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

Support for education and retail-to-mail conversion

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

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

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

Support for education and 90-day fill conversion

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

Ability for Borrowers to opt in to digital communications.

Identify Census files in an inbound RFP and Transform the file to the standard format required by the Carrier and identify any issues.

Shipment status updates

Support for education and retail-to-mail conversion

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

Surveying capability for experiences and NPS scoring

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

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

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

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

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

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

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

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

Education and scheduling of Medication Reconciliation

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

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

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

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

Guide the Policy Holder through cancelling their policy.

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

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

Support for education and 90-day fill conversion

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

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

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

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

Proactive notifications of appointment availability for patients on wait lists

Support for education and retail-to-mail conversion

Support for education and brand to generic fill conversion

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

Refill reminders and ordering facilitation (including payment capture)

Ongong adult preventative wellness education, appointment setting and other actions

Securely upload a signed HIPAA release form from the Claimant.

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

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

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

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

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

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

Ongong adult preventative wellness education, appointment setting and other actions

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

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

Ability for members to opt in to digital communications

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

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

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

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

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

Education on benefits of mail order delivery and Rx transfer support

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

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

Securely accept full or partial payment of outstanding premium amount.

Reach out to delinquent Borrowers with empathy to identify circumstances such as job loss, illness, divorce, deployment that may be eligible for relief measures.

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.

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

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

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

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

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

Patient support in finding in network doctors (of any type) that best fit their needs

Proactively reach out to Policy Holders prior to a disaster, such as storm, wildfire, or flood and educate them on preparedness.