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Fedhealth for AI agents

The Fedhealth connector lets Health Loops agents work with Fedhealth, 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 optionFedhealth
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 Fedhealth

Match the member to their Fedhealth option from the 8 on file (flexiFED 1, flexiFED 2, flexiFED 3 and 5 more), with their membership number, from a message or a photo of their card
Answer general questions about Fedhealth cover, and send plan-specific ones to the Fedhealth service line (0860 002 153) rather than guess
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 Fedhealth service line to confirm before an admission

Tools.

FedhealthLive Discovery HealthLive GEMSLive WhatsAppLive Nearby care finderLive

Country: South Africa
Type: Medical scheme
Options on file (8): flexiFED 1, flexiFED 2, flexiFED 3, flexiFED 4, flexiFED Savvy, maxima EXEC, myFED, maxima PLUS
Service line: 0860 002 153

Questions

What can an AI agent do with Fedhealth?

Match the member to their Fedhealth option from the 8 on file (flexiFED 1, flexiFED 2, flexiFED 3 and 5 more), with their membership number, from a message or a photo of their card.

Is the Fedhealth connector live?

Yes.

Which Fedhealth options does the agent know?

8 options: flexiFED 1, flexiFED 2, flexiFED 3, flexiFED 4, flexiFED Savvy, maxima EXEC, myFED, maxima PLUS.

Does the agent quote Fedhealth benefits?

Not from memory.

Does the agent decide Fedhealth 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.