Member management

Zero hold time

Multichannel support

Enable seamless access to plan information across voice, chat, SMS, and web, with AI agents that interpret requests in natural language and deliver real-time answers.

HIPAA compliant

Member authentication

Verify member identity against the health plan’s core system of record with customizable authentication rules, ensuring secure access to member data.

Instant resolution

Full transaction coverage

Automate member self-service actions such as ID cards and health statements generation, eligibility checks, copay and coinsurance details, out-of-pocket estimates, and dependent enrollment.

Enable members to manage ID card requests, health statements, eligibility checks, copay and coinsurance details, out-of-pocket estimates, and dependent enrollment through AI agents.

Core systems integrated

Real-time data retrieval

Retrieve member information from core systems of record without re-authentication between query types.

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Plain-language summary

Benefits explanation engine

Translate copays, coinsurance, and out-of-pocket details into clear, member-friendly language.

Audit logged

Confirmation & audit trail

Confirm completed actions in-session, update records in real time, and log interactions for compliance.