The AI Agent-powered CX platform for regulated industries
Purpose-built for regulated industries, delivering proactive outbound and inbound engagement — with compliance and auditability embedded into every interaction.
AI Agents That Deliver Better CX — Built on Trust
Trust-Native Architecture
Built-in governance embeds guardrails, policy enforcement, and human oversight directly into AI execution.
Maintain real-time visibility into agent behavior, reasoning, and performance.
Replay conversations end to end and generate regulator-ready records on demand.
Safeguard PHI, PII, and financial data with policy-aware segmentation and governed access.
The Ushur Agentic Platform
Enterprise AI Agents
AI agents that plan, reason, retrieve data, validate inputs, and resolve complex customer requests end-to-end — with built-in governance, human-in-the-loop safeguards, and full audit visibility.
One Platform. Endless Possibilities
A curated suite of Customer Experience Automation use cases built for regulated enterprises. Secure, compliant, and designed to resolve customer needs from start to finish
Disaster Preparedness
Proactively reach out to Policy Holders prior to a disaster, such as storm, wildfire, or flood and educate them on preparedness.
Email Triage
Automatically triage incoming servicing emails to identify intent and respond to service requests.
Post-visit check-in and follow-up details / instructions
Sharing of pre visit instructions with ability to automate answers to inquiries
Issues and Complaints
Proactively detect issues and escalate them as tickets to reduce complaints and improve satisfaction.
Ongoing website, portal, & app adoption and utilization
Support for member ongoing utilization of website, traditional apps and portals
Click-to-call or chat to speak to pharmacy staff
Ability for pharma representatives to chat within Ushur journeys, and to warm call transfer to them
Care appointment reminders
Proactive care and provider appointment reminders with the ability to reschedule rather than no show (any provider type)
Retail-to-mail conversion
Support for education and retail-to-mail conversion
Census Transformation
Identify Census files in an inbound RFP and Transform the file to the standard format required by the Carrier and identify any issues.
Digital consent
Ability for members to opt in to digital communications
Payoff Request
Guide Borrower through requesting an official Payoff Letter for their loan.
Chronic Condition Care Gap Closure
Education, navigation support and appointment setting for any chronic condition care gap (diabetes, CKD...)
New member welcome
New member welcome, overview of PBM supports and services, info gathering / sharing (including insurance ID card capture)
Ongoing website, portal, & app adoption and utilization
Support for member ongoing utilization of website, traditional apps and portals
Prior Authorization transparency support
Ability for members to receive push notices for, or make inquiries about, prior authorization status
Brand-to-generic conversion
Support for education and brand to generic fill conversion
ER avoidance
Education on when to use sites of care that are alternatives to the ER (telehealth, urgent care)
Post Disaster Outreach
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.
Digital consent
Ability for members to opt in to digital communications
Annual Wellness Visit (AWV) outreach and scheduling
Education and appointment setting support for Annual Wellness Visits (AWV) with appointment reminders and reschedules
Incontinence education and support
Education and connectivity to support resources for incontenence
Pediatric preventative wellness
Ongoing pediatric preventative wellness education, appointment setting and other actions
Medication reconciliation
Education and scheduling of Medication Reconciliation appointments
Claim Status
Provide Member with the current status of a Claim.
Address Verification
Remind and support Borrower in securely verifying address and contact information during KYC Reviews.
Shopper plan compare support
Member support in finding a health insurance plan that best fits their needs
Paperless Statements
Ability for Borrowers to opt in to digital delivery of Statements.
Benefits Education
Answer policy holder questions on Plan benefits, coverage, and eligibility.
Claim Status
Provide Policy Holder with the current status of a Claim.
Digital Consent
Ability for Members to opt in to digital communications.
Shipping status updates
Shipment status updates
Extraction (Critical Illness)
Extract Critical Illness related keys required for underwriting from structured Census files, semi-structured Prior Year Plans, and unstructured email body.
Hospital discharge support
Support for inpatient to facility or home transitions to ensure safety and decrease readmissions
Appeal filing and updates
Ability for members to understand and file Appeals, and receive status updates
Medication adherence
Understand root causes of medication non-adherence and overcome them
Cost transparency (Good Faith Estimate)
Providing out of pocket cost transparency via Good Faith Estimates
New patient welcome and information gathering
Patient education on provider and information and documentation completion
Click-to-call or chat to speak to sales representative
Ability for service or sales representatives to chat within Ushur journeys, and to warm call transfer to them
Post care Surveys (NPS, CAHPs and HOS- like)
Post care and pharmacy visit surveys to understand experience gaps for proactive outreach and support as needed
Premium Payment
Securely accept full or partial payment of outstanding premium amount.
Experience and Net Promoter Score (NPS) surveys
Surveying capability for experiences and NPS scoring
Clinical guideline requests and inquiries
Ability for providers to request clinical guidelines
Employer Onboarding
Guide the Broker / Employer through the information required from them to onboard them into the Carrier's core systems.
Traditional app and portal registration support
Support for member app download and app and portal initial registration
Preventative wellness actions and care gap closure
Education, navigation support and appointment setting for any preventative wellness care gap (immunizations, cancer screenings)
Adult Preventative Wellness
Ongong adult preventative wellness education, appointment setting and other actions
Vaccination reminders, education, appointment scheduling, and paperwork
Medication reconciliation
Education and scheduling of Medication Reconciliation appointments
Member information updates
Member information updates – including cross-channel contact details and change of insurance
New member welcome
New member welcome, overview of PBM supports and services, info gathering / sharing (including insurance ID card capture)
Appointment reminder and rescheduling
Member appointment reminders for care management, provider appointments (any type), home health visits and more
Medication (Rx) reconciliation
Education and scheduling of Medication Reconciliation
Payment Status
Provide Policy Holder with the current status of a payment on a Claim.
Proactive Rx status notifications
Proactive Rx status notifications (fill status, issues like prior auth)
Annual Notice of Change (ANOC) FAQs
Proactive notifications and inquiry handling about Medicare Annual Notices of Change. Including FAQ support for top ANOC call drivers
Shipping status updates
Shipment status updates
Chronic Condition care gap closure
Education, navigation support and appointment setting for any chronic condition care gap (diabetes, CKD...)
Review and e-sign new patient paperwork
Support for review and e-signature for new patient paperwork
90-day fill conversion
Support for education and 90-day fill conversion
Medication reconciliation
Education and scheduling of Medication Reconciliation appointments
Trailing Documents
Remind and support Applicant in securely uploading required supporting documents post Application.
Bill pay - payment capture
Bill delivery with safe and secure collection of payment information (credit, debit, ACH) to pass to payment processing
Respiratory Care care management and navigation (COPD, Asthma)
Year-round support for members with Respiratory Disease - including education, wellness, care gap closure, appointment setting
Don’t see the use case you are looking for? Let’s talk about your unique requirements. Schedule time with our team to explore what is possible.
