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Healthcare Automation Solutions

Better communications with HIPAA-compliant automation

  • Elevate member and patient experiences
  • Augment live interactions to reduce staff burden and operating costs
  • Support better health and wellness
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The Ultimate Guide to Healthcare Automation: Transforming Health Outcomes and Operational Efficiency with Compliant Engagement
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Platform flexibility to support entire healthcare journeys

A small sampling of journey phase and micro-engagement™ examples are shown below

Ushur supports our customers and their end customers (B2B and B2C) through the entire healthcare journey. With our no code platform, we allow companies to rapidly build and deploy automations for use cases utilizing citizen developers who do not need programming or engineering experience.

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Sales, Enrollment & Retention
Member Service
Population Health, Quality & Well-being
Claims

Sales, Enrollment & Retention

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    Cross-channel contact info gathering & digital opt-in
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    Renewal reminders
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    Annual/Open Enrollment announcements and reminders
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    Benefit change overviews / Annual Notice of Change (ANOC) w/ AI powered FAQs
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    Benefits selection decision support
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    Benefits education (health and supplemental / ancillary)

Member Services

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    Prior authorization education & process support
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    Life events, ex. add dependent
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    Information updates, ex. address change, beneficiaries
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    Portal & App adoption / utilization

Population Health, Quality & Well-being

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    Telemedicine access / appointments (medical & behavioral health)
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    Emergency room diversion
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    Pre- and post-discharge transition support
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    Preventive care education
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    Appointment setting / reminders - care management, pharmacy

Claims

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    Inquiries (claim status, EOB explanations, eligibility, etc.)
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    Claims status tracker
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    Proactive status notifications
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    Cost transparency
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    Coordination of Benefits
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    Grievance handling & appeals
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    Payment support
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    Prior authorization education & process support

Ushur for Healthcare Automation

Ushur insures better experiences for better customer outcomes

The Ushur CXA AI-powered Platform enables insurers to realize decreased costs in customer processing and increased customer and policyholder quality of service. See how we support both.

Improved engagement

85%

RFP submissions auto-processed for better handling during peak times

Delight customers

40%

NPS score improvement

High efficiency

95%

faster data collection

High value interactions

85%

CSAT score improvement

Features that support the enterprise and their customer

Empower your organization with AI-driven solutions that streamline enterprise workflows while delivering personalized, seamless experiences your customers can trust—because exceptional service starts with intelligent automation.

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HIPAA-secure
Omni-channel platform
No-code platform
An image of a woman and her daughter playing in fall leaves. They are safe and secure online during their interactions with their health insurance carrier because of Ushur.

HIPAA-secure

We enable healthcare companies to have two-way conversations in a secure channel. Invisible App™, Invisible Portal™ and SmartMail give companies and patients secure channels to make data pulls and pushes of PHI and PII in a HIPAA-secure platform. Now members and patients can opt-in for appointment reminders, reschedule their appointments and quickly interact with member or patient services from any device.

A woman using multiple devices when talking to her health insurance company.;

Omni-channel platform

Omni-channel patient engagement policies require the ability for patients to self-service over any channel. Across from an IVR, to SMS, WhatsApp, chatbots, and more, patient experiences require accurate information and flexible conversations. Ushur gives healthcare companies flexibility and patients the opportunity to engage with them in their preferred channel.

A health insurance carrier building automated experiences using the Ushur no-code platform.

No-code platform

Our true no-code drag and drop builder enables IT teams to give non-technical users the tools to quickly build and deploy automation solutions. Repetitive tasks that consume the time and effort of critical personas who could otherwise focus on improving patient experiences can be automated–allowing workers to focus on providing elevated customer experiences. Ushur lowers the total cost of ownership and cuts the time to value for any automation project.

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Guide to More Effective Healthcare Population Health and Wellness Communications
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A Healthcare Automation Customer Story

IEHP Enhances Member Engagement with Ushur

Challenge
Ushur Solution

Communication struggles

IEHP’s challenges included reliance on an external vendor for campaign execution, making engagement-centered communications costly and time-consuming. Constantly changing member and provider demographics also created an ongoing struggle to maintain accurate contact information, resulting in high volumes of returned mail. These hurdles highlighted the need for an automated, real-time solution to streamline communications, improve data accuracy, and boost engagement.

An image of a man being bogged down by manual paperwork sorting and data entry.

The Ushur Solution

Through a two-pronged approach, Ushur’s platform enabled IEHP to launch secure, HIPAA-compliant two-way communications while removing the cumbersome extra step of moving from text to a portal. Ushur’s No-Code Platform also empowered “citizen developers” at IEHP to build automated campaigns without needing heavy IT involvement. This partnership continues to expand across departments, strengthening engagement for members and providers, improving satisfaction, and driving better health outcomes.

300%
of member engagement goal achieved for Medi-Cal redetermination outreach
1.5M
members reached across campaigns

FAQs

Ushur helps healthcare organizations deliver secure, AI-driven experiences that simplify member and provider interactions. Below, we’ve answered the most common questions about how Ushur supports digital transformation across health plans, PBMs, and provider networks—while ensuring compliance, speed-to-value, and exceptional customer experience.

See it in action

What is Ushur and how does it help health plans and providers?

Ushur is an AI-powered Customer Experience Automation™ platform built specifically for healthcare enterprises. It helps health plans, providers, and PBMs streamline high-volume interactions—such as enrollment, benefits education, claims status, prior authorization, and document intake—while ensuring every digital engagement stays secure and compliant.
With Ushur, organizations automate complex service journeys without sacrificing personalization or data privacy.

Is Ushur HIPAA compliant and how is PHI protected?

Yes. Ushur is fully HIPAA compliant and designed with healthcare-grade data protection in mind. Every digital engagement—whether it involves member data, claims information, or provider records—follows strict governance and security protocols. Protected Health Information (PHI) remains encrypted and safeguarded throughout all interactions and integrations, ensuring compliance and trust.

How are Ushur’s AI Agents different from basic chatbots?

Unlike static chatbots, Ushur’s AI Agents are built to understand, act, and resolve. They combine policy guardrails, workflow automation, and secure data access to handle tasks end-to-end.
For example, instead of merely answering a claim status question, an AI Agent can pull the correct data, verify eligibility, and provide an accurate response—all within the same secure interaction.

Which healthcare use cases does Ushur automate?

Ushur automates a wide range of high-impact healthcare journeys, including:

  • Member onboarding and enrollment
  • Benefits education and renewals
  • Care navigation and outreach
  • Claims status and intake
  • Prior authorization and verification steps
  • Provider onboarding and credentialing
  • Clinical trial engagement and retention

Each workflow is configurable to meet the compliance and operational needs of healthcare enterprises.

Can Ushur integrate with our existing systems?

Yes. Ushur integrates seamlessly with core healthcare systems such as EHRs, payer administration platforms, CRMs, and data warehouses through secure APIs.
This allows AI Agents to access and update information in real time, enabling automated, compliant, and contextually aware workflows without system overhauls.

How quickly can healthcare teams launch with Ushur?

Healthcare teams can go live rapidly using Ushur’s no-code/low-code automation studio and pre-built templates for common healthcare use cases.
Business users can design, test, and deploy automations in days or weeks—not months—accelerating digital transformation and measurable ROI.

What outcomes do enterprises see with Ushur?

Organizations using Ushur experience:

  • Faster resolution times for member and provider requests
  • Lower manual workload and call center volumes
  • Improved member satisfaction and engagement
  • Greater operational efficiency and data accuracy

Ushur enables healthcare enterprises to deliver digital-first experiences that are secure, compliant, and human-centric.

How is Ushur priced for healthcare organizations?

Ushur’s pricing is tailored to each organization’s scale, use cases, and engagement volume. Most healthcare teams start with high-impact journeys—like claims or enrollment automation—and expand as value is proven.
For a tailored pricing discussion, get a demo.