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Kaelo for AI agents

The Kaelo connector lets Health Loops agents work with Kaelo, a health insurer 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 optionKaelo
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 Kaelo

Match the member to their Kaelo option from the 2 on file (Kaelo Health Cover and Kaelo Hospital Cover), with their membership number, from a message or a photo of their card
Answer general questions about Kaelo cover, and send plan-specific ones to the Kaelo service line 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 Kaelo service line to confirm before an admission

Tools.

KaeloLive Discovery HealthLive GEMSLive WhatsAppLive Nearby care finderLive

Country: South Africa
Type: Health insurance
Options on file (2): Kaelo Health Cover, Kaelo Hospital Cover

Questions

What can an AI agent do with Kaelo?

Match the member to their Kaelo option from the 2 on file (Kaelo Health Cover and Kaelo Hospital Cover), with their membership number, from a message or a photo of their card.

Is the Kaelo connector live?

Yes.

Which Kaelo options does the agent know?

2 options: Kaelo Health Cover, Kaelo Hospital Cover.

Does the agent quote Kaelo benefits?

Not from memory.

Does the agent decide Kaelo 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.