Automated Open Enrollment

Ushur is the premier AI-Powered Customer Experience Automation™ (CXA) platform to engage with current and future members across their enrollment journey. Ushur combines conversational AI with knowledge work automation to make meeting customers in their channel of choice scalable and repeatable.

See it in action

Healthcare Journeys & Micro-Engagements™

Open enrollment is a stressful process for your customers if they can’t find the information they need and act on it immediately. Automate the customer experience and your many Micro-Engagements™ across the enrollment lifecycle to make sure they complete their enrollment quickly and with confidence.

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Sales, Enrollment & Retention
Member Service
Provider Care
Claims

Sales, Enrollment, Retention

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    Open enrollment announcements & reminders
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    Medicaid retention and redetermination
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    Benefits selection decision support
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    Benefits change overviews (i.e., ANOC)
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    Cross-sell & up-sell
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    Age-in & age-out notifications with education and WIIFM
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    Sales appointment scheduling and rescheduling (new business and renewal)

Member Services

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    Digital registration/onboarding
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    Dependent verification
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    Health risk assessments
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    Benefits education
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    Programs education & election, ex. care management
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    Beneficiary changes
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    Life events
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    Demographic updates (ex. address change)
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    Digital ID cards
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    Check HSA balance

Provider Care

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    In-network steerage
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    Network selection
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    Network change
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    Telemedicine access
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    Emergency room diversion
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    Post-hospitalization transition
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    Preventative care education
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    Rx refill/medication adherence reminders
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    Prior authorization
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    Appointment reminders

Claims

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    Rx Refills & Renewals
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    Inquiries (Claims, Eligibility, etc.)
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    Status Tracker
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    Proactive status Notifications
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    Provide Cost Transparency
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    Data Collection To Enable Straight Through Processing
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    Coordination of Benefits
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    Grievance Handling & Appeals
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    Make Payments

Build intelligent automations for comprehensive automated business processes and see what you can achieve with Ushur

Age-In Notifications, Enrollment, and Opt-In

Manage the sales and enrollment portion of Open Enrollment at kickoff to make it easy for members to discover and select their new plan at age 26 or 65.

Health Risk Assessment and Program Education

Delight with member services to educate, assess, and support your members at every life event and beneficiary change.

Network Selection & In-Network Steerage

Minimize costs for members by helping them find providers and care inside the policy network.

Cost Transparency

Reassure members in the claim process with proactive notifications, rapid inquiry handling, and easy payments after enrollment.