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Results follow-up agent for GEMS

The results follow-up agent for GEMS points GEMS members to the benefit that pays for the follow-up.

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Riverside Family ClinicResults follow-up agentWhatsApp
  1. Repeat test due: 3 months after the last resultGEMS
  2. Results follow-up agent: Hi Johan, your doctor asked for a repeat cholesterol test around now. Want me to book it?
  3. Customer: Where’s closest?
  4. Found 3 collection points within 4 kmNearby care finder
  5. Results follow-up agent: The closest is 1.2 km away and open until 16:00. Tomorrow at 8:00? It’s a fasting test, so nothing but water after 22:00 tonight.
  6. Customer: Perfect.
Sample conversation. People, brands and figures are made up.

What it can do with GEMS

  • Points GEMS members to the benefit that pays for the follow-up
  • Match the member to their GEMS option from the 6 on file (Emerald, Emerald Value, Tanzanite One and 3 more), with their membership number, from a message or a photo of their card
  • Answer what the member’s option covers from the GEMS 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

Tools.

GEMSLiveFHIR lab resultsCustomNearby care finderLiveWhatsAppLiveGoogle CalendarCustom

Questions

What does the results follow-up agent do with GEMS?

Points GEMS members to the benefit that pays for the follow-up.

Is the GEMS connector live?

Yes.

Where does the results follow-up agent get the next step from?

From the report, the referring doctor or your own rules.

Does the agent decide GEMS claims or authorisations?

No.

Does the agent triage or diagnose patients?

No.

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

The results follow-up agent by vertical

Other agents for GEMS

The results follow-up agent with other connectors