Pre-authorisation agent for clinics
A ready-made Health Loops agent for clinics that helps patients get authorisation before a procedure at your practice.
Riverside Family ClinicPre-authorisation agentWhatsApp
- Customer: I need a knee scope next month. What do I do?
- Read the plan’s authorisation rulesHealthbridge
- 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 with your systems
- Collects the quote and codes from Healthbridge for the request
- Collects documents on WhatsApp, including photos
- Collects documents on Email, including photos
- Reads the Discovery Health authorisation rules for the member’s plan and gathers what they need
Questions
What is a pre-authorisation agent for clinics?
A ready-made Health Loops agent for clinics that helps patients get authorisation before a procedure at your practice.
Does the pre-authorisation agent approve procedures?
No.
What does it ask the member for?
Only what the plan’s rules need, usually the quote, procedure codes, the hospital and the referral.
Does the agent triage or diagnose patients?
No.
Ollie’s agents give wellness guidance. They don’t diagnose or prescribe, and hand off to a human expert when needed.