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Discovery Flexicare for AI agents

The Discovery Flexicare connector lets AI agents on Health Loops work with Discovery Flexicare.

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

  • Match the member to their Discovery Flexicare option from the 2 on file (Flexicare Core and Flexicare Plus), with their membership number, from a message or a photo of their card
  • Answer what the member’s option covers from the Discovery Flexicare plan guide, with the figures for their option and the source shown
  • 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 Discovery Flexicare service line to confirm before an admission

Tools.

Country
South Africa
Type
Health insurance
Options on file (2)
Flexicare Core, Flexicare Plus
Plan guide
Indexed: answers cite the scheme’s own guide
Part of
Discovery Health

Questions

What can an AI agent do with Discovery Flexicare?

Match the member to their Discovery Flexicare option from the 2 on file (Flexicare Core and Flexicare Plus), with their membership number, from a message or a photo of their card.

Is the Discovery Flexicare connector live?

Yes.

Which Discovery Flexicare options does the agent know?

2 options: Flexicare Core, Flexicare Plus.

Where do answers about Discovery Flexicare benefits come from?

From the Discovery Flexicare plan guide for the member’s option, which Ollie indexes and refreshes.

Does the agent decide Discovery Flexicare 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.