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Pre-authorisation agent for Epic

The pre-authorisation agent for Epic collects the quote and codes from Epic for the request.

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Harbour Health CoverPre-authorisation agentWhatsApp
  1. Customer: I need a knee scope next month. What do I do?
  2. Read the plan’s authorisation rulesEpic
  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 Epic

  • Collects the quote and codes from Epic for the request
  • Read upcoming appointments and the reason for each visit from Epic
  • Write the intake given before the visit into the record, for the clinician to review
  • Attach a call transcript, a scan report or a summary to the right record

Tools.

EpicCustomWhatsAppLiveEmailLiveDiscovery HealthLiveVoice and phone callsLive

Questions

What does the pre-authorisation agent do with Epic?

Collects the quote and codes from Epic for the request.

Is the Epic connector live?

Not yet as a ready-made connector.

Does the pre-authorisation agent approve procedures?

No.

Does the agent write into Epic?

Only what you allow: usually intake answers, call summaries and documents, for your clinicians to review.

Are scan results or chats used to price cover?

No.

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

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The pre-authorisation agent with other connectors