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Medihelp for AI agents

The Medihelp connector lets Health Loops agents work with Medihelp, 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 optionMedihelp
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 Medihelp

Match the member to their Medihelp option from the 8 on file (MedVital, MedPrime, MedAdd and 5 more), with their membership number, from a message or a photo of their card
Answer general questions about Medihelp cover, and send plan-specific ones to the Medihelp service line (012 336 9000) 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 Medihelp service line to confirm before an admission

Tools.

MedihelpLive Discovery HealthLive GEMSLive WhatsAppLive Nearby care finderLive

Country: South Africa
Type: Medical scheme
Options on file (8): MedVital, MedPrime, MedAdd, MedSaver, MedElite, MedElect, MedMove, MedPlus
Service line: 012 336 9000

Questions

What can an AI agent do with Medihelp?

Match the member to their Medihelp option from the 8 on file (MedVital, MedPrime, MedAdd and 5 more), with their membership number, from a message or a photo of their card.

Is the Medihelp connector live?

Yes.

Which Medihelp options does the agent know?

8 options: MedVital, MedPrime, MedAdd, MedSaver, MedElite, MedElect, MedMove, MedPlus.

Does the agent quote Medihelp benefits?

Not from memory.

Does the agent decide Medihelp 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.