For decades, provider support in health plans has relied on call centres to handle benefit verifications, claim checks, and credentialing updates. While necessary, these interactions are repetitive, slow, and costly. Benefits verification alone can account for 60–70% of calls, highlighting the inefficiency of traditional provider support models.
Ushur has set out to change the way provider support works. The firm is introducing the first AI Agent specifically built for provider servicing, aiming to transform it from a reactive cost centre into an intelligent, always-on support layer.
By integrating with health plan systems for benefits, claims, and credentialing, the AI Agent delivers accurate answers instantly via portal, chat, or voice.
Providers can now verify coverage, check claim status, upload missing documentation, and complete credentialing updates in real time — all while maintaining HIPAA and regulatory compliance.
Designed for healthcare complexity
Unlike generic chatbots, Ushur’s AI Agent is trained on payer-specific data and workflows. It understands everything from provider agreements and benefit eligibility systems to network processes and documentation standards.
Each interaction is safeguarded with privacy controls, role-based access, and off-topic steering, ensuring compliance and accuracy.
For health plans, automating repetitive inquiries lowers administrative costs and accelerates claim adjudication.
Providers gain immediate support even outside business hours, allowing them to focus on patient care. Patients benefit from faster answers, faster payments, and smoother care delivery.
Ushur’s AI Agent is helping provider servicing evolve into an intelligent engagement layer. By reducing administrative friction and speeding up interactions, it transforms the provider experience and improves the overall healthcare workflow. When providers can focus on care instead of paperwork, everyone wins.
Read the full blog from Ushur here.
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