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Affinity Health for AI agents

The Affinity Health connector lets Health Loops agents work with Affinity Health, a health insurer in South Africa.

Start free with this agent

Ridgeway LogisticsBenefits agentWhatsApp

Customer: Does my plan cover physio?
Read the plan guide for the member’s optionAffinity Health
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

Sample conversation. People, brands and figures are made up.

What an agent can do with Affinity Health

Match the member to their Affinity Health option from the 3 on file (Day-to-Day, Hospital and Combined), with their membership number, from a message or a photo of their card
Answer general questions about Affinity Health cover, and send plan-specific ones to the Affinity Health service line rather than guess
Read a claims or benefit statement the member sends and explain each line still owed, in plain words
Find network hospitals, clinics and GPs near the member, then give the Affinity Health service line to confirm before an admission

Tools.

Affinity HealthLive Discovery HealthLive GEMSLive WhatsAppLive Nearby care finderLive

Country: South Africa
Type: Health insurance
Options on file (3): Day-to-Day, Hospital, Combined

Questions

What can an AI agent do with Affinity Health?

Match the member to their Affinity Health option from the 3 on file (Day-to-Day, Hospital and Combined), with their membership number, from a message or a photo of their card.

Is the Affinity Health connector live?

Yes.

Which Affinity Health options does the agent know?

3 options: Day-to-Day, Hospital, Combined.

Does the agent quote Affinity Health benefits?

Not from memory.

Does the agent decide Affinity Health claims or authorisations?

No.

Ollie’s agents give wellness guidance. They don’t diagnose or prescribe, and hand off to a human expert when needed.