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Pre-authorisation agent for Britam Rwanda

The pre-authorisation agent for Britam Rwanda gathers what a pre-authorisation needs before a planned procedure.

Riverside Family ClinicPre-authorisation agentWhatsApp
  1. Customer: I need a knee scope next month. What do I do?
  2. Read the plan’s authorisation rulesBritam Rwanda
  3. Pre-authorisation agent: You’ll need authorisation before you’re admitted. Your plan guide asks for the doctor’s quote with the procedure codes and the hospital’s name. Do you have the quote?
  4. Customer: I’ll send a photo.
  5. Quote received: codes and hospital foundHealth Loops
  6. Complete request sent to the authorisation team
Sample conversation. People, brands and figures are made up.

What it can do with Britam Rwanda

  • Reads the Britam Rwanda authorisation rules for the member’s plan and gathers what they need
  • Save the member’s Britam Rwanda cover and membership number from a message or a photo of their card
  • Answer general questions about Britam Rwanda cover, and send plan-specific ones to the Britam Rwanda service line rather than guess
  • Read a claims or benefit statement the member sends and explain each line still owed, in plain words

Questions

What does the pre-authorisation agent do with Britam Rwanda?

Reads the Britam Rwanda authorisation rules for the member’s plan and gathers what they need.

Is the Britam Rwanda connector live?

Yes.

Does the pre-authorisation agent approve procedures?

No.

Does the agent decide Britam Rwanda claims or authorisations?

No.

Does the agent triage or diagnose patients?

No.

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