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Pre-authorisation agent for Email

The pre-authorisation agent for Email collects documents on Email, including photos.

Coastline Medical SchemePre-authorisation agentEmail
  1. Customer: I need a knee scope next month. What do I do?
  2. Read the plan’s authorisation rulesDiscovery Health
  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 Email

  • Collects documents on Email, including photos
  • Send results, summaries and receipts by email
  • Pick up a reply and carry on as a conversation
  • Attach a PDF report, like a scan report or a statement explainer

Questions

What does the pre-authorisation agent do with Email?

Collects documents on Email, including photos.

Is the Email connector live?

Yes.

Does the pre-authorisation agent approve procedures?

No.

Is it the same agent on Email as on our website?

Yes.

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.