Claims agent for employers
A ready-made Health Loops agent for employers that helps staff make sense of claims, privately.
Ridgeway LogisticsClaims agentWhatsApp
- Customer: Why do I still owe R640 on this?
- Read statement dated 3 OctoberDiscovery Health
- Claims agent: Your scheme paid R1,560 of the R2,200 specialist bill, at the scheme’s rate. The R640 left is the specialist charging above that rate. You could ask the rooms if they’ll accept the scheme rate.
- Customer: Can you ask them?
- Claims agent: I can draft the message for you to send, with the claim details. Want it?
What it does with your systems
- Explains Discovery Health statements line by line and chases missing claim documents
- Takes statements and documents on WhatsApp, including photos
- Takes statements and documents on Email, including photos
- Takes statements and documents on Voice and phone calls, including photos
Questions
What is a claims agent for employers?
A ready-made Health Loops agent for employers that helps staff make sense of claims, privately.
Does the claims agent change claim outcomes?
No.
Can members send a photo of a statement?
Yes.
Can HR see what staff say to the agent?
No.
Ollie’s agents give wellness guidance. They don’t diagnose or prescribe, and hand off to a human expert when needed.