Pre-authorisation agent
The pre-authorisation agent is a health AI agent that explains what a planned procedure needs before it can go ahead, gathers the quote, codes and referral from the member, and sends a complete request to the team that decides.
Gathers what a pre-authorisation needs before a planned procedure.
Free to start with 1,000 runs a month, no card needed. Then you pay for what agents do: runs, messages, calls and scans.
- Customer: I need a knee scope next month. What do I do?
- Read the plan’s authorisation rulesDiscovery Health
- Pre-authorisation agent: You’ll need authorisation before you’re admitted. Your plan guide asks for the doctor’s quote with the procedure codes and the hospital’s name. Do you have the quote?
- Customer: I’ll send a photo.
- Quote received: codes and hospital foundHealth Loops
- Complete request sent to the authorisation team
What it does, by business
- Medical aids: cuts the back-and-forth on hospital authorisations by collecting everything up front
- Health insurers: sends complete pre-authorisation requests to your team
- Clinics: helps patients get authorisation before a procedure at your practice
How the pre-authorisation agent works
- Reads the authorisation rules for the member’s plan.
- Asks for the documents the plan needs.
- Checks nothing is missing.
- Sends a complete request to your team, who decide.
Questions
What is the pre-authorisation agent?
The pre-authorisation agent is a health AI agent that explains what a planned procedure needs before it can go ahead, gathers the quote, codes and referral from the member, and sends a complete request to the team that decides.
Does the pre-authorisation agent approve procedures?
No. It gathers a complete request; your team or the scheme decides.
What does it ask the member for?
Only what the plan’s rules need, usually the quote, procedure codes, the hospital and the referral.
What does the pre-authorisation agent cost?
Free to start with 1,000 runs a month, no card needed. Then you pay for what agents do: runs, messages, calls and scans.
Ollie’s agents give wellness guidance. They don’t diagnose or prescribe, and hand off to a human expert when needed.