AI that takes on the busywork—so your team can focus on member experience.
Reduce operational burden. Deliver a better experience.
What Lumara Does
Lumara helps healthcare organizations simplify operations and improve member interactions.
Fragmented systems, manual processes, and repeat work cost healthcare organizations millions each year—while members struggle to get timely, accurate answers.
Lumara automates administrative tasks with intelligent AI agents that handle common questions, guide navigation, and manage routine interactions—so your teams can focus on higher-value work. Beneath every interaction is a unified view of each member, built by integrating medical history, claims, eligibility, benefits, and demographic data into a single, connected foundation.
Who We Serve
Lumara partners with healthcare organizations that need to engage members at scale—without adding operational complexity.
Health Plans
Health plans aiming to lower administrative costs, improve member experience and boost sales performance through automation
Key Use Cases
- Plan Selection & RFP Acceleration:
Help sales teams quickly identify the best plans for a given population, turning RFP responses from days or weeks into hours
- Benefits Clarity & Navigation:
Give members clear, personalized answers about their coverage and benefits—reducing inbound call volume, repeat contacts, and escalations while supporting retention and satisfaction
- Intelligent Risk Stratification & Care Navigation:
Identify high-risk members and proactively coordinate outreach and follow-ups using a unified, real-time member view—guiding members to the right care at the right time
Digital Health Companies
Companies scaling quickly that need modern infrastructure to meet member expectations while improving margins
Key Use Cases
- Intelligent Triage & Intake:
Automate member intake and routing by understanding context, urgency, and history—ensuring members reach the right care pathway faster
- Care Navigation & Follow-Up Management:
Guide members across episodes of care, follow-ups, and next steps—keeping members engaged and reducing drop-off throughout the care journey
- Outbound Sales & Engagement:
Automate outbound outreach to qualify leads, follow up with prospects, and support sales teams with timely, personalized engagement at scale
With Lumara, Organizations Can:
Reduce Operational Costs
by automating repetitive workflows
Respond Faster
to member needs without adding staff
Deliver Consistent Experiences
across every interaction
Scale Engagement
without increasing complexity
See Lumara in Action
Discover how Lumara can transform your member engagement and reduce operational costs
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Platform Architecture
Designed for healthcare complexity. Built for scale.
Lumara's architecture is inspired by modern agentic systems, combining interoperability, intelligence, and orchestration into a single layer.
Lumara Platform Architecture
A unified platform that connects data, orchestrates agents, and ensures compliance
Data Sources
Knowledge Graph
Continuously updated member context that powers intelligent agent decision-making
Agent Layer
Member Touchpoints
Data Sources → Knowledge Graph → Agent Layer → Member Touchpoints
Core Components
Unified Member Knowledge Graph
At the foundation of Lumara is a continuously updated knowledge graph that connects claims, clinical data, eligibility, benefits, and demographic context into a single, structured view of each member.
Agent Orchestration Layer
On top of the knowledge graph, Lumara deploys specialized agents that reason, act, and escalate across workflows—triage, navigation, scheduling, and follow-ups—while maintaining shared context across interactions.
Interoperability & Integration
Lumara integrates with existing payor, provider, and digital health systems through modern APIs and standards, ensuring fast deployment without rip-and-replace.
Security & Compliance by Design
Built with healthcare-grade security, privacy, and compliance in mind, including HIPAA-aligned data handling and auditability.
About Us
Lumara was founded by a team with deep experience across healthcare, AI, and product leadership—leaders who have built, scaled, and deployed technology inside complex healthcare environments.
Built by Industry Leaders
Our Mission
We built Lumara to bring practical, reliable AI into healthcare—so your teams can spend less time on administrative work and more time delivering care.
Ready to transform your member experience?
See how Lumara can help your organization reduce costs and improve member satisfaction.
Schedule a Demo