AI for healtchare payer & Provider
Smarter conversations. Better health outcomes
With Observe.AI, payer and provider organizations can eliminate hold times by leveraging AI and automation tools to accurately and securely address frequent calls around appointment scheduling, pre-authorization, prescription refill assistance, and more, 24/7.
Representatives are empowered with real-time assist and GenAI knowledge access to assist members and patients with challenging personal treatment, claims, and billing questions—all while following HIPPA and other regulatory compliance. Automated quality assurance (QA) and detailed omnichannel reporting tools empower supervisors and operations leaders to identify opportunities to improve healthcare outcomes for their patients and members.
Proven impact across 350+ enterprises
90%+
first call resolution
22%
uplift in CSAT
20%
faster routing
97%
improvement in compliance monitoring
use cases
Processes primed for a conversation intelligence boost
Payer and provider organizations see remarkable improvements and ROI with Observe.AI across these everyday use cases.
PAYER
Payer organizations leverage Observe.AI to support their compliance strategies and boost member participation and engagement rates.
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PROVIDER
Provider organizations see great results across patient satisfaction scores, reduced no-shows, and claims resolution.
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BANKING AND FINSERV BENEFITS
Understanding intent fuels superior business outcomes
You’re already capturing and storing every interaction. With Observe.AI, banking and financial services institutions can unlock the full potential of this data by automatically analyzing 100% of engagements and converting these insights into actionable, revenue-driving process improvements across retail banking, investment and health management, lending and mortgages, fintech and digital payments, and tax services.
Invest in growth
Accelerate collections and conversions
Increase loan origination and collection rates (promise to pay) by automating non-revenue, first-touch interactions with AI-powered voice agents and empowering live agents with revenue-winning real-time scripts, prompts, and coaching.
Identify high-impact business drivers
Leverage comprehensive omnichannel reporting to understand customer outreach reasons, hardships trends, and winning “promise-to-pay” behaviors by analyzing 100% of all interactions and adopting data-driven strategies.
Reduce costly non-compliance and fraud errors
Maintain regulatory compliance, protect customer data, and safeguard agent licenses/certifications with 100% compliance monitoring, automatic PCI/PII redaction, and agent script and compliance statement prompts. Proactively flag potential fraud activity with automated QA.
See how Observe.AI works
Our AI-powered conversation intelligence solution is here to help your team derive more value at every stage of customer engagement.
VoiceAI Agents
Automate your high-volume, complex customer calls with agentic AI that understands caller intent and resolves inquiries with human-like eloquence.
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Real-time AI
Deliver empathetic, knowledgeable support with real-time agent assist, smart scripts, prompts, and after-call summaries.
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Post-interaction AI
Automatically QA 100% of interactions to drive better service quality and mitigate compliance risk through targeted coaching.
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Business Insights
Tap into millions of critical business insights to drive data-backed patient/member engagement improvements and operational efficiency decisions across the enterprise.
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VP Product, AI and Platform
