Solutions · Payor Partnerships
Transform Health Plan Operations with AI
Automate member outreach, provider network management, care management programs, and claims coordination — helping health plans improve outcomes and reduce costs.
How Urvika.ai Helps
Health plans face growing pressure to improve member outcomes while controlling administrative costs. Urvika.ai partners with payors to automate high-volume, repetitive phone communications — from member engagement to provider outreach — driving better Star Ratings and HEDIS scores at scale.
Member Engagement
Proactive outreach to members for wellness visits, preventive screenings, care gap closure, and health risk assessments at population scale.
Provider Network Management
Automated provider outreach for credentialing follow-ups, directory verification, and network adequacy management calls.
Care Management Programs
AI-powered care management outreach including chronic disease check-ins, transitional care follow-ups, and medication therapy management.
Claims Coordination
Automate provider calls for claims clarification, coordination of benefits, and overpayment recovery to streamline revenue integrity.
Quality Measure Outreach
Targeted member outreach to close quality gaps and improve HEDIS scores, Star Ratings, and value-based contract performance.
Member Services Augmentation
Supplement your contact center with AI agents handling routine member inquiries, ID card requests, and benefit explanations.
Key Use Cases
Ready to Get Started?
See how Urvika.ai can transform your operations with a personalized demo tailored to your needs.
Request a Demo