Claims agent for health insurers
A ready-made Health Loops agent for health insurers that explains claims and chases documents, so claims close faster.
Harbour Health CoverClaims agentWhatsApp
- Customer: Why do I still owe R640 on this?
- Read statement dated 3 OctoberBupa
- 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 Bupa 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
- Explains Discovery Health statements line by line and chases missing claim documents
Questions
What is a claims agent for health insurers?
A ready-made Health Loops agent for health insurers that explains claims and chases documents, so claims close faster.
Does the claims agent change claim outcomes?
No.
Can members send a photo of a statement?
Yes.
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.