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Pre-authorisation agent for Discovery Vitality

The pre-authorisation agent for Discovery Vitality gathers what a pre-authorisation needs before a planned procedure.

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Your medical aidPre-authorisation agentWhatsApp
  1. Customer: I need a knee scope next month. What do I do?
  2. Read the plan’s authorisation rulesDiscovery Vitality
  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 Discovery Vitality

  • Reads the Discovery Vitality authorisation rules for the member’s plan and gathers what they need
  • Save the member’s Discovery Vitality status (Blue, Bronze, Silver, Gold, Diamond) so every answer starts from where they are
  • Explain how Discovery Vitality rewards are earned and claimed, from the programme’s published rules with the date they were checked
  • Remind the member of weekly and yearly goals before they reset, and suggest one thing to do this week

Tools.

Discovery VitalityLiveWhatsAppLiveEmailLiveDiscovery HealthLiveVoice and phone callsLive

Questions

What does the pre-authorisation agent do with Discovery Vitality?

Reads the Discovery Vitality authorisation rules for the member’s plan and gathers what they need.

Is the Discovery Vitality connector live?

Yes.

Does the pre-authorisation agent approve procedures?

No.

Does the agent decide Discovery Vitality claims or authorisations?

No.

Where do the agent’s answers about benefits come from?

From the scheme’s own published plan guide for the member’s option, and from statements the member sends.

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

The pre-authorisation agent by vertical

Other agents for Discovery Vitality

The pre-authorisation agent with other connectors