HIMSS25: Ushur Launches AI Agent for Member Service to Transform Healthcare Support

What You Should Know: 

– Ushur launches its AI Agent for Member Service, a groundbreaking solution designed to revolutionize how health plans support their members. 

– Powered by generative and agentic AI, this innovative technology automates common requests, provides personalized guidance, and ensures 24/7 access to care, enhancing the member experience and improving operational efficiency for health plans.

Addressing the Challenges of Healthcare Support

Health plans face mounting pressure to provide exceptional member service, but often struggle with limited resources and increasing demand. Despite investments in digital tools, many members still rely on traditional call centers, leading to long wait times and frustrated customers.

Ushur’s AI Agent addresses these challenges by:

• Automating routine tasks: Handles common inquiries such as benefits explanations, ID card replacements, and PCP updates, freeing up human agents to focus on more complex issues.
• Providing 24/7 support: Offers round-the-clock assistance, ensuring members can access help whenever they need it.
• Delivering personalized experiences: Tailors responses and recommendations based on individual member needs and preferences.
• Improving efficiency: Streamlines workflows and reduces resolution times, leading to cost savings for health plans.
• Ensuring compliance: Adheres to HIPAA and other regulations to protect sensitive member data.

Transforming Healthcare with AI

Ushur’s AI Agent for Member Service is revolutionizing how health plans engage with their members. By automating routine tasks, personalizing support, and ensuring 24/7 access to care, this innovative solution is transforming the healthcare experience for both members and health plans.

“In our work with highly regulated industries, we recognize the critical importance of innovation rooted in security and trust,” shares Simha Sadasiva, Co-Founder and CEO of Ushur. “Ushur’s AI Agent that we developed is tailored with healthcare-specific guardrails, ensuring compliance and protecting customer data. These safeguards empower health plans to deliver round-the-clock personalized assistance to their members, achieving unprecedented levels of intelligence and efficiency.”