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Medshield for AI agents

The Medshield connector lets Health Loops agents work with Medshield, 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 optionMedshield
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 Medshield

Match the member to their Medshield option from the 9 on file (MediValue Prime, MediPlus Prime, MediPhila and 6 more), with their membership number, from a message or a photo of their card
Answer general questions about Medshield cover, and send plan-specific ones to the Medshield service line (086 000 2120) 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 Medshield service line to confirm before an admission

Tools.

MedshieldLive Discovery HealthLive GEMSLive WhatsAppLive Nearby care finderLive

Country: South Africa
Type: Medical scheme
Options on file (9): MediValue Prime, MediPlus Prime, MediPhila, MediSaver, MediCore, MediBonus, MediCurve, Premium Plus, MediSwift
Service line: 086 000 2120

Questions

What can an AI agent do with Medshield?

Match the member to their Medshield option from the 9 on file (MediValue Prime, MediPlus Prime, MediPhila and 6 more), with their membership number, from a message or a photo of their card.

Is the Medshield connector live?

Yes.

Which Medshield options does the agent know?

9 options: MediValue Prime, MediPlus Prime, MediPhila, MediSaver, MediCore, MediBonus, MediCurve, Premium Plus, MediSwift.

Does the agent quote Medshield benefits?

Not from memory.

Does the agent decide Medshield 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.