inGAGE IQ Agent

N/AThe Problem

Health plans don't have an outreach problem—they have an overreach problem. Members receive 30-40 disconnected touches from quality, pharmacy, care management, and marketing teams. The result? Member fatigue, ignored messages, and the same gaps that were open last quarter still open today.

Generic reminders don't work. Members aren't ignoring you because they don't care about their health. They're overwhelmed, confused, and waiting for someone to actually help them navigate the maze.

The Solution

inGAGE Voice & Orchestration Engine transforms fragmented outreach into intelligent conversations that listen first and act second. Powered by AI agents that understand context, detect barriers in real-time, and adapt to each member's unique situation—this isn't automation. It's augmented human connection at scale.

What makes it different:

An AI agent that detects a member prefers Spanish mid-conversation—and switches without transferring

A voice interaction that recognizes transportation is the real barrier—and offers a ride benefit before the member even asks

A conversation that senses loneliness in a recent widow—and connects her to a companion program instead of pushing compliance

An HRA completion that surfaces a $500 unused travel benefit—turning a checkbox into genuine member delight

Your members aren't ignoring you. They're waiting to be heard.

Key Capabilities

Intelligent Conversation Orchestration

Coordinate outreach across voice, SMS, email, IVA, and print from a single platform. AI determines the right channel, right time, and right message for each member based on behavioral predictions—not just demographics.

AI Voice Agents That Actually Listen

Purpose-built for healthcare conversations, our AI agents are trained to:

Detect emotional cues and adjust approach in real-time

Identify unstated barriers (transportation, cost, fear, confusion)

Switch languages seamlessly without transfers or callbacks

Navigate complex benefit structures with accuracy

Know when to escalate to human agents

Barrier Detection & Resolution

Go beyond scheduling. AI agents are equipped to solve problems in the moment:

Transportation barriers → Offer ride benefits, coordinate scheduling

Language preferences → Real-time switching across 20+ languages

Benefit confusion → Explain coverage in plain terms

SDOH needs → Connect to food programs, housing resources, social support

Provider access → Find in-network options, schedule appointments

Omni-Channel Member Journeys

Design connected experiences that span the entire member lifecycle:

Welcome & Onboarding

Annual Wellness Visit scheduling

HRA completion with conversational assessments

HEDIS gap closure campaigns

CAHPS experience optimization

Chronic condition management

Retention & renewal support

Real-Time Campaign Intelligence

Monitor conversations as they happen. See completion rates, barrier patterns, sentiment trends, and outcome metrics update in real-time. Adjust scripts, channels, and targeting o