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Discovery Health for AI agents

The Discovery Health connector lets Health Loops agents work with Discovery Health, a medical scheme in South Africa.

Start free with this agent

Ridgeway LogisticsBenefits agentWhatsApp

Customer: Does my plan cover physio?
Read the plan guide for the member’s optionDiscovery Health
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?
Customer: Yes please.
Found 3 nearbyNearby care finder

Sample conversation. People, brands and figures are made up.

What an agent can do with Discovery Health

Match the member to their Discovery Health option from the 24 on file (Classic Saver, KeyCare Plus, Essential Saver and 21 more), with their membership number, from a message or a photo of their card
Answer what the member’s option covers from the Discovery Health 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 Health service line to confirm before an admission

Tools.

Discovery HealthLive GEMSLive WhatsAppLive Nearby care finderLive

Country: South Africa
Type: Medical scheme
Options on file (24): Classic Saver, KeyCare Plus, Essential Saver, Coastal Saver, Classic Comprehensive, Essential Smart, Classic Smart, Classic Priority, Coastal Core, Essential Core, Classic Core, KeyCare Core, Executive, KeyCare Start, Essential Priority, Classic Smart Comprehensive, Classic Delta Saver, Essential Delta Saver, Classic Delta Core, Essential Delta Core, Classic Smart Saver, Essential Smart Saver, Essential Dynamic Smart, Active Smart
Service line: 0860 99 88 77
Plan guide: Indexed: answers cite the scheme’s own guide

Questions

What can an AI agent do with Discovery Health?

Match the member to their Discovery Health option from the 24 on file (Classic Saver, KeyCare Plus, Essential Saver and 21 more), with their membership number, from a message or a photo of their card.

Is the Discovery Health connector live?

Yes.

Which Discovery Health options does the agent know?

24 options: Classic Saver, KeyCare Plus, Essential Saver, Coastal Saver, Classic Comprehensive, Essential Smart, Classic Smart, Classic Priority, Coastal Core, Essential Core, Classic Core, KeyCare Core, Executive, KeyCare Start, Essential Priority, Classic Smart Comprehensive, Classic Delta Saver, Essential Delta Saver, Classic Delta Core, Essential Delta Core, Classic Smart Saver, Essential Smart Saver, Essential Dynamic Smart, Active Smart.

Where do answers about Discovery Health benefits come from?

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

Does the agent decide Discovery 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.