Live

Bestmed for AI agents

The Bestmed connector lets Health Loops agents work with Bestmed, 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 optionBestmed
  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 Bestmed

  • Match the member to their Bestmed option from the 11 on file (Beat 1, Beat 2, Beat 3 and 8 more), with their membership number, from a message or a photo of their card
  • Answer general questions about Bestmed cover, and send plan-specific ones to the Bestmed service line (086 000 2378) 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 Bestmed service line to confirm before an admission

Tools.

Country
South Africa
Type
Medical scheme
Options on file (11)
Beat 1, Beat 2, Beat 3, Beat 3 Plus, Beat 4, Pace 1, Pace 2, Pace 3, Pace 4, Rhythm 1, Rhythm 2
Service line
086 000 2378

Questions

What can an AI agent do with Bestmed?

Match the member to their Bestmed option from the 11 on file (Beat 1, Beat 2, Beat 3 and 8 more), with their membership number, from a message or a photo of their card.

Is the Bestmed connector live?

Yes.

Which Bestmed options does the agent know?

11 options: Beat 1, Beat 2, Beat 3, Beat 3 Plus, Beat 4, Pace 1, Pace 2, Pace 3, Pace 4, Rhythm 1, Rhythm 2.

Does the agent quote Bestmed benefits?

Not from memory.

Does the agent decide Bestmed 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.