Benefits agent for health insurers
A ready-made Health Loops agent for health insurers that answers cover questions from your plan documents.
Harbour Health CoverBenefits agentWhatsApp
- Customer: Does my plan cover physio?
- Read the plan guide for the member’s optionBupa
- Benefits agent: Your plan guide pays that from your day-to-day benefit, up to its annual limit. From the statement you sent on 3 October, you have about R2,300 left. Want the nearest network options?
- Customer: Yes please.
- Found 3 nearbyNearby care finder
What it does with your systems
- Answers what Bupa plans cover, with the figures for the member’s option
- Answers what Discovery Health plans cover, with the figures for the member’s option
- Answers what GEMS plans cover, with the figures for the member’s option
- Answers benefit questions on WhatsApp
Questions
What is a benefits agent for health insurers?
A ready-made Health Loops agent for health insurers that answers cover questions from your plan documents.
Where do the benefits agent’s answers come from?
From the scheme’s own plan guide for the member’s option, or your own plan documents, with the source shown.
Does it know a member’s balance?
Only from a statement the member sends, with its date.
Are scan results or chats used to price cover?
No.
Ollie’s agents give wellness guidance. They don’t diagnose or prescribe, and hand off to a human expert when needed.