AI-powered compliance assistant
Usher AI is your conversational AI assistant for health plan compliance and operations, that connects your team to policies, audit data, and workflows, all via natural language.
Conversational compliance for health plans
Usher AI, built into Inovaare’s Healthcare Cloud Platform, is a healthcare AI compliance assistant that streamlines compliance, boosts productivity, and helps health plans stay audit-ready.
Maximize ROI
Integrate with existing systems and deliver fast, measurable returns.
Drive efficiency
Scale compliance with AI automation that reduces manual work.
Boost productivity
Automate repetitive tasks so teams focus on high-value work.
Flexible deploymentÂ
Quick, secure, and disruption-free deployment across systems.
Unstructured text analysisÂ
Turn unstructured healthcare data into compliance-ready insights.
Real-time KPIs
Access dashboards and audit-ready reports instantly.
Turn complex regulations into quick insights
Usher AI connects to policy libraries, contracts, and Medicare/Medicaid regulations through an advanced compliance search engine and chatbot. Using NLP, it delivers fast, accurate answers and lets users bookmark key documents for instant retrieval.
Simplify HPMS memo compliance
Usher AI streamlines HPMS memo management by auto-summarizing updates and flagging required compliance actions. Health plans can adapt to CMS changes faster, reduce non-compliance risks, and optimize review workflows.
Turn unstructured text into actionable insightsÂ
Usher AI transforms unstructured text like call logs into actionable insights. It auto-categorizes grievances, accelerates response times, and improves member experience with accurate resolutions.
Secure and efficient data accessÂ
Usher AI Databot integrates with existing systems to streamline data handling, ensure accuracy, cut manual effort, and boost operational efficiency.
AI copilots that streamline compliance for payers
Deploy pre-built AI copilots for compliance and operations, or create custom ones for your workflows. Boost productivity, streamline payer operations, and keep Medicare, Medicaid, and Commercial plans compliant.
Regulatory Library Copilot
Quickly search, manage, and navigate regulatory updates to stay compliant.
Databot
Optimize universe management with seamless data integration, validation, and real-time insights.
Medicare Advantage Copilot
Streamline HPMS memo analysis, universe reporting, and policy & procedure management.
Purpose-built AI Agents for compliance, audits, and operations
Our AI Agents, built on the Usher AI engine, go beyond assistance; they act autonomously to execute specialized compliance and operational tasks. Together, copilots and agents create a complete AI ecosystem
Regulatory notice management agent
Stay ahead of CMS updates with instant policy and workflow impact mapping.
Regulatory audit automation agent
Generate and validate CMS universes in minutes, not weeks.
Member appeal and grievances intake automation agent
Transform unstructured appeal submissions into audit-ready cases.
Provider dispute intake automation agent
Streamline provider disputes with smart intake, routing, and tracking.
Have questions? We have answers.
Technology
Usher delivers conversational GenAI, enabling compliance teams to ask questions in natural language and receive instant answers based on audit data, regulations, and internal documents.
Yes. Usher connects via secure APIs to audit, GRC, document management, and reporting systems. It provides a unified interface while drawing insights from multiple data sources.
Usher’s AI Agents automatically review audit logs, identify patterns, and suggest corrective actions. They enhance accuracy and reduce research time for compliance professionals.
AI helps payers automate routine compliance checks, identify risk patterns in audit data, summarize regulatory updates, and monitor delegated entity performance. Solutions like Usher AI Copilot turn compliance into a proactive, insight-driven function.
Key features include domain-specific training (such as CMS or HIPAA), secure deployment, explainable outputs, integration with internal systems, and the ability to support multiple roles like compliance officers, auditors, and operational leaders.
Yes, when deployed correctly. Usher AI is hosted on a HIPAA-compliant, HITRUST-certified environment. It includes encryption, access controls, audit logs, and role-based filtering to ensure data safety and trustworthiness.
Pricing & Implementation
Usher is offered as a modular add-on priced based on user seats or usage volume. Plans can start with a pilot and scale according to adoption across compliance teams.
Usher can be configured and launched in 3 to 6 weeks. The process includes connecting data sources, setting knowledge domains, training models, and user onboarding.
Operations
Compliance professionals can ask Usher for plain-language explanations of complex policies, view related documentation, and get context-specific examples instantly through chat.
Yes. Usher can generate draft summaries, evidence logs, or CAP plans based on chat prompts. Users can review and tweak the drafts within the interface before finalizing.
By providing instant access to policy definitions, audit histories, and task guidance, Usher saves compliance teams hours of manual research while reducing response time to audit findings.
Yes. Usher summarizes historical finding patterns, highlights recurring issues, and delivers data-driven trend analysis to guide training and process improvement.
Usher acts as a chat assistant for new team members. It answers questions, explains processes, and reinforces learning, reducing onboarding time and ensuring consistent knowledge transfer.
Usher is HIPAA compliant and hosted in a HITRUST-certified environment. It uses secure access controls, encryption, and audit logging to manage sensitive content safely.