Custom, built in days

Benefits agent for Blue Cross Blue Shield

The benefits agent for Blue Cross Blue Shield answers what a member’s plan covers, from the plan guide.

Ridgeway LogisticsBenefits agentWhatsApp
  1. Customer: Does my plan cover physio?
  2. Read the plan guide for the member’s optionBlue Cross Blue Shield
  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 it can do with Blue Cross Blue Shield

  • Answers what Blue Cross Blue Shield plans cover, with the figures for the member’s option
  • Read a member’s Blue Cross Blue Shield plan and benefits through the access your team has, such as an API, a file feed or a portal export
  • Answer cover questions from your Blue Cross Blue Shield plan documents, with the figures for the member’s plan
  • Check a claim’s status and chase the missing invoice, referral or form with the member

Questions

What does the benefits agent do with Blue Cross Blue Shield?

Answers what Blue Cross Blue Shield plans cover, with the figures for the member’s option.

Is the Blue Cross Blue Shield connector live?

Not yet as a ready-made connector.

Where do the benefits agent’s answers come from?

From the scheme’s own plan guide for the member’s option, or your own plan documents, with the source shown.

Does the agent decide Blue Cross Blue Shield 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.