Live
Claims agent for Balance
The claims agent for Balance explains Balance statements line by line and chases missing claim documents.
Ridgeway LogisticsClaims agentWhatsApp
- Customer: Why do I still owe R640 on this?
- Read statement dated 3 OctoberBalance
- 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 can do with Balance
- Explains Balance statements line by line and chases missing claim documents
- Save the member’s Balance status (Blue, Bronze, Silver, Gold, Diamond) so every answer starts from where they are
- Explain how Balance rewards are earned and claimed, from the programme’s published rules with the date they were checked
- Remind the member of weekly and yearly goals before they reset, and suggest one thing to do this week
Questions
What does the claims agent do with Balance?
Explains Balance statements line by line and chases missing claim documents.
Is the Balance connector live?
Yes.
Does the claims agent change claim outcomes?
No.
Does the agent decide Balance claims or authorisations?
No.
Can HR see what staff say to the agent?
No.
Ollie’s agents give wellness guidance. They don’t diagnose or prescribe, and hand off to a human expert when needed.