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Revolutionize Patient Engagement with AI-Powered Voice Support

Elevate patient and member engagement with SOSResolve.ai, the intelligent voice platform designed to blend AI efficiency with human empathy. Seamlessly manage rising call volumes and reduce operational costs, all while ensuring full SOC2 Type 2, HiTrust, and HIPAA compliance.

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The Hybrid Advantage: AI + Human Support

Scalability

Effortlessly manage seasonal spikes and campaign surges without adding staff or compromising service quality. Our platform automatically scales to handle increased call volumes during enrollment periods or health initiatives.

Cost Efficiency

Reduce operational expenses by up to 65% by automating routine inquiries while redirecting human agents to complex cases requiring personalized attention. Optimize your resources without sacrificing patient satisfaction.

24/7 Availability

Provide continuous support to members regardless of time zone or staffing limitations. Our AI voice platform ensures patients always receive assistance when they need it most, improving overall healthcare accessibility.

Data Insights

Leverage advanced analytics to identify trends, track common issues, and discover improvement opportunities. Transform interactions into actionable intelligence that drives better patient outcomes and operational decisions.

Building on over 25 years of proven experience in healthcare communication strategies, the SOS team has evolved. We've seamlessly integrated AI with our established live agent inbound and outbound support, providing clients with a truly comprehensive and dynamic hybrid omni-channel solution.


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Breaking Language Barriers in Healthcare

Healthcare communication shouldn't be limited by language differences. SOSResolve.ai bridges this critical gap by offering support in over 100 languages, ensuring every patient and member receives equitable care and attention.

Our multilingual capabilities help healthcare organizations:

  • Improve health outcomes for diverse populations
  • Increase engagement with limited English proficiency members
  • Reduce misunderstandings that can lead to medical errors
  • Meet regulatory requirements for language access
  • Build trust with multicultural communities

When every patient can communicate in their preferred language, healthcare organizations see improved compliance, better health outcomes, and stronger patient relationships.

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Healthcare

Healthcare organizations face rising inbound call volumes from patient support lines, mailers, and campaigns. SOS and SOSResolve.ai help ensure service levels are met by combining AI with live agents. Our AI voice platform resolves common patient and member issues without a live agent—while still delivering a caller experience that feels natural, empathetic, and compliant.

With SOSResovle.ai, we can now help our clients reduce cost while increasing their engagement with patients and members. Through proper coordinated care, we can help improve the health and lives of patients and members, one call at at time.

SOSResolve.ai offers Payors and Medical Groups the ability to communicate with their patients and members in over 100 languages. SOSResolve.ai bridges the gap in language barriers.

The Hybrid Advantage: AI + Human Support

Scalability

During seasonal or campaign spikes.

Cost Efficiency

With AI managing routine calls and humans focusing on complex cases.

24/7 Availability

So members always have access to support.

Data Insights

Through advanced analytics that surface trends, issues, and opportunities for improvement.

Example Healthcare Support Use Cases

Inbound Patient Support

Handle eligibility questions, scheduling, benefits inquiries, and claim status checks. Answer FAQs and provide accurate routing without wait times.

HEDIS & Quality Measures

Implement automated outreach to members to close care gaps. Collect responses and guide patients to required screenings or follow-ups.

CMS V28 Risk Adjustment Assistance

Support Payors and Medical Groups in adapting to new risk adjustment rules with automated member engagement campaigns to ensure accurate coding and timely follow-up.

Annual Wellness & Preventative Visits

Send automated call scheduling reminders for Annual Wellness Visits (AWVs) and follow up with patients who have not yet scheduled preventative screenings.

Population Health & Chronic Care Support

Provide medication adherence reminders, care coordination, and follow-up calls to reduce readmissions and improve outcomes.

Outbound Annual Notice of Change

Empower patients with vital alerts and calls to action. Proactive communication is key to ensuring optimal long-term health.

Compliance & Security Built In

HIPAA, SOC 2 Type II, and HiTrust certified.

Enterprise-grade security with encryption and access controls.

Regular independent audits, vulnerability testing, and team compliance training.

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Inbound Patient Support That Never Keeps Patients Waiting

01

Eligibility Verification

Patients receive immediate answers about coverage status, benefits, and network providers without waiting on hold. Our AI platform accesses your systems securely to provide accurate, real-time information.

02

Appointment Scheduling

Streamline the scheduling process with intelligent voice assistance that checks provider availability, suggests appropriate time slots, and confirms appointments—all while integrating with your existing calendar systems.

03

Claims Status Updates

Reduce frustration by giving patients instant access to claims information. Our platform explains status details in clear, simple language and outlines next steps when action is required.

04

Intelligent Routing

When complex issues require human expertise, our system seamlessly transfers calls to the right department with complete context, eliminating the need for patients to repeat information.

By handling these high-volume inquiries through AI, your human agents can focus on complex cases requiring clinical expertise or emotional support—improving both efficiency and member satisfaction.

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Proactive Care Gap Closure & Quality Measure Improvement

HEDIS & Quality Measures

SOSResolve.ai transforms quality improvement initiatives by implementing automated outreach campaigns that identify and close care gaps efficiently. Our platform contacts members due for screenings, collects responses, and guides patients to required interventions.

The result? Improved quality scores, better patient outcomes, and maximized value-based reimbursements—all with minimal staff burden.

CMS V28 Risk Adjustment

Stay ahead of regulatory changes with our specialized support for the latest CMS Risk Adjustment requirements. SOSResolve.ai helps payors and medical groups adapt to V28 rules through targeted member engagement campaigns that ensure accurate documentation and timely follow-ups.

Our platform's compliance-first design means you can confidently navigate complex regulatory requirements while optimizing appropriate risk adjustment.

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Preventative Care & Population Health Management

1

Annual Wellness Visit Scheduling

Boost AWV completion rates with automated reminders and convenient scheduling assistance. Our platform identifies patients due for visits, sends personalized outreach, and helps them schedule appointments with minimal friction.

2

Preventative Screening Follow-ups

Ensure patients complete recommended screenings through persistent but considerate follow-up campaigns. The system adapts outreach timing and messaging based on patient response patterns to maximize engagement.

3

Medication Adherence Support

Improve treatment outcomes with personalized medication reminders and check-ins. Our AI detects potential adherence issues through conversation patterns and escalates concerns to care managers when appropriate.

4

Readmission Prevention

Reduce costly readmissions through structured post-discharge follow-up calls that identify recovery complications early. The platform assesses patient status, provides guidance, and alerts clinical teams to intervention opportunities.

By automating these routine but crucial healthcare touchpoints, SOSResolve.ai helps organizations improve population health metrics while allowing clinical staff to focus where they're needed most.


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Annual Notice of Change & Member Communications

Keep members informed about critical plan changes and benefits updates through timely, compliant outbound communications. SOSResolve.ai's outbound capabilities ensure members understand how Annual Notice of Change affects their coverage.

Our platform delivers:

  • Personalized explanations of benefit changes relevant to each member's specific situation
  • Interactive guidance on required actions during enrollment periods
  • Answers to common questions without requiring members to call in
  • Seamless transfers to enrollment specialists when members need additional assistance

This proactive approach reduces inbound call volume during peak periods while ensuring members make informed decisions about their healthcare coverage.

AOC of change can be hectic to the patient, medical group staff and payor, SOSResolve.AI helps reduce that stress.


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Enterprise-Grade Security & Compliance

Data Protection

All patient information is protected with enterprise-grade encryption both in transit and at rest. Our zero-trust security architecture ensures data is accessible only to authorized users and systems.

Access Controls

Granular permission systems and multi-factor authentication restrict information access based on role and need-to-know principles, creating a secure environment for sensitive healthcare data.

Regular Audits

Our platform undergoes rigorous independent security testing, including vulnerability assessments and penetration testing. We maintain comprehensive audit trails for all system activities and patient interactions.

When you partner with SOSResolve.ai, you can confidently assure patients, regulators, and stakeholders that their sensitive healthcare information remains protected while still enabling the operational efficiencies of AI-powered engagement.

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What Our Clients Are Saying

"SOSResolve.ai virtual support agents transformed our customer support operation. We've reduced costs by 65% while improving satisfaction scores by 28%. The compliance safeguards give us peace of mind in our highly regulated industry."

— Healthcare Provider Network, Chief Operations Officer

Measurable Results

Our clients consistently report significant improvements across key performance indicators after implementing SOSResolve.ai, including:

  • 30-65% reduction in operational costs
  • 20-40% improvement in first-call resolution rates
  • 95%+ patient satisfaction with AI interactions
  • Zero compliance incidents across millions of interactions

Adaptable to Your Organization

The platform's flexibility allows it to adapt to healthcare organizations of all sizes, from growing medical groups to complex enterprise environments with multiple locations and service lines.

Implementation typically takes 4-6 weeks, with minimal disruption to existing operations and seamless integration with your current systems and workflows.



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Transform Patient Engagement While Reducing Costs

SOSResolve.ai helps healthcare organizations navigate the challenges of increasing call volumes, rising operational costs, and growing patient expectations. By combining the efficiency of AI with the empathy of human support, we deliver a hybrid approach that resolves common issues without sacrificing the personal touch that healthcare requires.

Through proper coordinated care enabled by our platform, we help improve the health and lives of patients and members, one call at a time. Experience the future of healthcare communication with a solution designed specifically for the unique needs of payors and medical groups.

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