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Heritage Health for AI agents

The Heritage Health connector lets Health Loops agents work with Heritage Health, a medical scheme in Namibia.

Ridgeway LogisticsBenefits agentWhatsApp
  1. Customer: Does my plan cover physio?
  2. Read the plan guide for the member’s optionHeritage Health
  3. 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?
  4. Customer: Yes please.
  5. Found 3 nearbyNearby care finder
Sample conversation. People, brands and figures are made up.

What an agent can do with Heritage Health

  • Match the member to their Heritage Health option from the 8 on file (Camelthorn, Maroela, Hoodia and 5 more), with their membership number, from a message or a photo of their card
  • Answer general questions about Heritage Health cover, and send plan-specific ones to the Heritage Health service line (083 334 2790) 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 Heritage Health service line to confirm before an admission

Tools.

Country
Namibia
Type
Medical scheme
Options on file (8)
Camelthorn, Maroela, Hoodia, Moringa, Aloe, Baobab, Acacia, Kiaat
Service line
083 334 2790

Questions

What can an AI agent do with Heritage Health?

Match the member to their Heritage Health option from the 8 on file (Camelthorn, Maroela, Hoodia and 5 more), with their membership number, from a message or a photo of their card.

Is the Heritage Health connector live?

Yes.

Which Heritage Health options does the agent know?

8 options: Camelthorn, Maroela, Hoodia, Moringa, Aloe, Baobab, Acacia, Kiaat.

Does the agent quote Heritage Health benefits?

Not from memory.

Does the agent decide Heritage Health 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.