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KeyHealth for AI agents

The KeyHealth connector lets Health Loops agents work with KeyHealth, 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 optionKeyHealth
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 KeyHealth

Match the member to their KeyHealth option from the 6 on file (Equilibrium, Gold, Silver and 3 more), with their membership number, from a message or a photo of their card
Answer general questions about KeyHealth cover, and send plan-specific ones to the KeyHealth service line (0860 671 050) 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 KeyHealth service line to confirm before an admission

Tools.

KeyHealthLive Discovery HealthLive GEMSLive WhatsAppLive Nearby care finderLive

Country: South Africa
Type: Medical scheme
Options on file (6): Equilibrium, Gold, Silver, Origin, Essence, Platinum
Service line: 0860 671 050

Questions

What can an AI agent do with KeyHealth?

Match the member to their KeyHealth option from the 6 on file (Equilibrium, Gold, Silver and 3 more), with their membership number, from a message or a photo of their card.

Is the KeyHealth connector live?

Yes.

Which KeyHealth options does the agent know?

6 options: Equilibrium, Gold, Silver, Origin, Essence, Platinum.

Does the agent quote KeyHealth benefits?

Not from memory.

Does the agent decide KeyHealth 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.