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Bankmed for AI agents

The Bankmed connector lets Health Loops agents work with Bankmed, a medical scheme in South Africa.

Ridgeway LogisticsBenefits agentWhatsApp
  1. Customer: Does my plan cover physio?
  2. Read the plan guide for the member’s optionBankmed
  3. 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?
  4. Customer: Yes please.
  5. Found 3 nearbyNearby care finder
Sample conversation. People, brands and figures are made up.

What an agent can do with Bankmed

  • Match the member to their Bankmed option from the 6 on file (Core Saver, Comprehensive, Basic and 3 more), with their membership number, from a message or a photo of their card
  • Answer general questions about Bankmed cover, and send plan-specific ones to the Bankmed service line (0800 226 5633) 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 Bankmed service line to confirm before an admission

Tools.

Country
South Africa
Type
Medical scheme
Options on file (6)
Core Saver, Comprehensive, Basic, Traditional, Essential Plan, Plus
Service line
0800 226 5633

Questions

What can an AI agent do with Bankmed?

Match the member to their Bankmed option from the 6 on file (Core Saver, Comprehensive, Basic and 3 more), with their membership number, from a message or a photo of their card.

Is the Bankmed connector live?

Yes.

Which Bankmed options does the agent know?

6 options: Core Saver, Comprehensive, Basic, Traditional, Essential Plan, Plus.

Does the agent quote Bankmed benefits?

Not from memory.

Does the agent decide Bankmed 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.