Custom, built in days

Pre-authorisation agent for Humana

The pre-authorisation agent for Humana gathers what a pre-authorisation needs before a planned procedure.

Your health insurerPre-authorisation agentWhatsApp

Customer: I need a knee scope next month. What do I do?
Read the plan’s authorisation rulesHumana
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?
Customer: I’ll send a photo.
Quote received: codes and hospital foundHealth Loops
Complete request sent to the authorisation team

Sample conversation. People, brands and figures are made up.

What it can do with Humana

Reads the Humana authorisation rules for the member’s plan and gathers what they need
Read a member’s Humana plan and benefits through the access your team has, such as an API, a file feed or a portal export
Answer cover questions from your Humana plan documents, with the figures for the member’s plan
Check a claim’s status and chase the missing invoice, referral or form with the member

Reads the Humana authorisation rules for the member’s plan and gathers what they need.

Not yet as a ready-made connector.

No.

No.

No.

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