The AI Agent-powered CX platform for regulated industries

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

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

Surveying capability for experiences and NPS scoring

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

Proactive notifications of appointment availability for patients on wait lists

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

Support for provider credentialing information submission and status updates

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

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

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

Ability for Members to opt in to digital communications.

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

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

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

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

Education on benefits of mail order delivery and Rx transfer support

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

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

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

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

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

Education and scheduling of Medication Reconciliation

Click-to-call or chat to speak to Care Manager / Navigator when needed

Notifications to educate on the importance of chronic condition management, related appointment setting

Shipment status updates

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

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

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

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

Delivery of member ID cards digitally

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

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

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

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

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

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

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

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

Education and scheduling of Medication Reconciliation appointments

Guide the Policy Holder through cancelling their policy.

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

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

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

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

Providing out of pocket cost transparency via Good Faith Estimates

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

Ability for members to opt in to digital communications

Support for education and brand to generic fill conversion

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

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

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

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

Shipment status updates

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

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

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

Support for education and retail-to-mail conversion

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

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

Guide the Policy Holder through renewing their policy.

Support for shipping / delivery issues, returns and reshipment

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

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

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 and scheduling of Medication Reconciliation

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

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

Ongong adult preventative wellness education, appointment setting and other actions

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

Support for education and 90-day fill conversion

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

Support for finding a primary care doctor or pediatrician in network and setting appointment via click-to-call

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

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

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

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

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 requesting an official Payoff Letter for their loan.

Completion of forms and e-signing records transfer paperwork

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

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

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

Education on cost tranparency and cost relief options

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

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

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

Understand root causes of medication non-adherence and overcome them

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

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

Confirmation of medication, immunization, DME orders / refills

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

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

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

Provide Policy Holder with the current status of a Claim.

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

Support for education and retail-to-mail conversion

Refill reminders and ordering facilitation (including payment capture)

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