Custom AI workflows built around your operations.

Reduce operational burden. Improve member experience.

What We Do

Lumara helps health plans, brokers and TPAs rapidly adopt AI by partnering with them to identify high-value opportunities, map and redesign critical workflows, and co-build intelligent capabilities tailored to their operations.

01

Member Engagement

Members get instant answers, personalized guidance, and proactive outreach — reducing call volume while improving care navigation.

02

Sales Enablement

Turn weeks-long proposal cycles into days. We ingest your data, generate complete proposals, and deliver ready-to-send materials.

03

Post-Sales & Customer Success

Renewals prepared, client insights surfaced, value demonstrated — without your team doing the prep work.

How We're Different

Not just another vendor or point solution.

Healthcare-native

Designed from the ground up for payor operations. Claims, benefits, compliance, and member data are foundational, not bolted onto a generic AI stack.

Your environment, your data

Your data never leaves your environment. You benefit from aggregate learnings across our network — without sharing a single record.

Built with your team

We embed closely with your operators to understand workflows, identify friction points, and configure systems around how your organization actually works.

Rapid, low-lift deployment

Deploys in weeks, not months and years — with focused implementations that integrate into existing workflows and systems with minimal IT lift.

Connect with the Lumara Team

Whether you're exploring AI or ready to transform key workflows, our team is here to help.

Let's Start the Conversation

Share your information, and a member of our team will be in touch.

We respect your privacy. Your information will only be used to contact you about Lumara.

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

EHR data
Claims data
Benefit info
Member history

Knowledge Graph

Continuously updated member context that powers intelligent agent decision-making

Agent Layer

• Triage Agent
• Navigation Agent
• Benefits Agent

Member Touchpoints

Voice
Chat
Email
SMS

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.

How We Partner

Choose the ownership model that fits your team's capacity, timeline, and goals — from a fully managed platform to a structured handoff.

Platform License

Lumara builds, hosts, and operates your AI solution as a managed service — infrastructure, model updates, monitoring, and ongoing enhancements included. The fastest path to value, with minimal internal overhead.

Hybrid

We co-build your AI solution and share operational responsibility over time. Your team gains increasing ownership of day-to-day workflows while Lumara continues providing platform expertise and strategic support.

Full Assignment

Lumara builds a production-ready solution tailored to your business, then hands it off through structured knowledge transfer so your team can operate and evolve it independently — with Lumara available as a strategic partner for what's next.

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

BCG
Harvard Business School
Zillow
Johnson & Johnson
B Capital
Trulia
Formation
BCG X