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Cigna for AI agents

The Cigna connector lets Health Loops agents work with Cigna, a health insurer in the United States.

Ridgeway LogisticsBenefits agentWhatsApp
  1. Customer: Does my plan cover physio?
  2. Read the plan guide for the member’s optionCigna
  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 Cigna

  • Match the member to their Cigna option from the 3 on file (Open Access Plus, LocalPlus and Global Health), with their membership number, from a message or a photo of their card
  • Answer general questions about Cigna cover, and send plan-specific ones to the Cigna service line 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 Cigna service line to confirm before an admission

Tools.

Country
United States
Type
Health insurance
Options on file (3)
Open Access Plus, LocalPlus, Global Health

Questions

What can an AI agent do with Cigna?

Match the member to their Cigna option from the 3 on file (Open Access Plus, LocalPlus and Global Health), with their membership number, from a message or a photo of their card.

Is the Cigna connector live?

Yes.

Which Cigna options does the agent know?

3 options: Open Access Plus, LocalPlus, Global Health.

Does the agent quote Cigna benefits?

Not from memory.

Does the agent decide Cigna 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.