Live

Day1 Health for AI agents

The Day1 Health connector lets Health Loops agents work with Day1 Health, a health insurer in South Africa.

Ridgeway LogisticsBenefits agentWhatsApp
  1. Customer: Does my plan cover physio?
  2. Read the plan guide for the member’s optionDay1 Health
  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 Day1 Health

  • Match the member to their Day1 Health option from the 3 on file (Day-to-Day, Hospital and Comprehensive), with their membership number, from a message or a photo of their card
  • Answer general questions about Day1 Health cover, and send plan-specific ones to the Day1 Health 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 Day1 Health service line to confirm before an admission

Tools.

Country
South Africa
Type
Health insurance
Options on file (3)
Day-to-Day, Hospital, Comprehensive

Questions

What can an AI agent do with Day1 Health?

Match the member to their Day1 Health option from the 3 on file (Day-to-Day, Hospital and Comprehensive), with their membership number, from a message or a photo of their card.

Is the Day1 Health connector live?

Yes.

Which Day1 Health options does the agent know?

3 options: Day-to-Day, Hospital, Comprehensive.

Does the agent quote Day1 Health benefits?

Not from memory.

Does the agent decide Day1 Health 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.