Sierra and Stellarus: Advancing a new model for AI-powered healthcare member experience
Sierra is partnering with Stellarus to help health plans like Blue Shield of California deploy AI agents.
Healthcare
Better outcomes, more revenue
Trusted for healthcare's most complex conversations
Triage & routing
Replace IVR with authentication, intent recognition, and issue-based routing
Selection & onboarding
Increase plan activation with guided enrollment, account setup, and eligibility verification
Care navigation
Improve engagement with proactive benefits guidance and referral intake coordination
Prior authorization
Reduce authorization turnaround time with faster submission, tracking, and documentation collection
Claims support
Reduce cost-to-serve with claim status, EOBs, appeals, and follow-ups
Payments & billing
Increase payment rates with clear billing explanations, reminders, and financial assistance guidance
Deliver better outcomes across the entire care journey
Connect every patient or member to the right care
Answer calls and messages at any time in any language to help patients find care and book appointments.
Resolve needs in a single interaction
Complete requests without transfers or follow-ups, eliminating repeated calls and fragmented handoffs.
Accelerate access to care
Coordinate authorization, availability, and booking to reduce delays and no-shows.
Improve financial outcomes and accelerate reimbursement
Explain benefits, resolve claims, and manage follow-ups to reduce denials and delays.
Reduce administrative burden across teams
Handle intake, coordination, and follow-ups to reduce manual work across teams.
“Partnering with Sierra will allow R1 to enhance our communication capabilities, ensuring that we continue to lead the market in providing innovative, AI-enabled solutions that improve the healthcare experience for providers, patients and payers.”
Joe Flanagan
Chief Executive Officer, R1
Healthcare agents in real-world scenarios
Listen to agents guide patients through scheduling, coverage, and billing.
Confirming coverage
A Medicare member calls to confirm physical therapy coverage and understand her costs before starting care.
Scheduling urgent care
A parent schedules a same-day pediatric appointment while managing a sick child at home.
Clarifying an EOB
A member gets a clear breakdown of charges and deductible responsibility while on the go.
Paying a bill
An agent helps a member understand and pay for an outstanding balance.
Built for healthcare trust and privacy
Meets the security, safety, and clinical standards required for healthcare.
See what Sierra can do for you.
Learn how you can partner with Sierra to deliver better experiences for patients and policyholders.