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Pre-authorisation agent for Military Medical Insurance

The pre-authorisation agent for Military Medical Insurance gathers what a pre-authorisation needs before a planned procedure.

Riverside Family ClinicPre-authorisation agentWhatsApp
  1. Customer: I need a knee scope next month. What do I do?
  2. Read the plan’s authorisation rulesMilitary Medical Insurance
  3. 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?
  4. Customer: I’ll send a photo.
  5. Quote received: codes and hospital foundHealth Loops
  6. Complete request sent to the authorisation team
Sample conversation. People, brands and figures are made up.

What it can do with Military Medical Insurance

  • Reads the Military Medical Insurance authorisation rules for the member’s plan and gathers what they need
  • Save the member’s Military Medical Insurance cover and membership number from a message or a photo of their card
  • Answer general questions about Military Medical Insurance cover, and send plan-specific ones to the Military Medical Insurance service line (1535) rather than guess
  • Read a claims or benefit statement the member sends and explain each line still owed, in plain words

Questions

What does the pre-authorisation agent do with Military Medical Insurance?

Reads the Military Medical Insurance authorisation rules for the member’s plan and gathers what they need.

Is the Military Medical Insurance connector live?

Yes.

Does the pre-authorisation agent approve procedures?

No.

Does the agent decide Military Medical Insurance claims or authorisations?

No.

Does the agent triage or diagnose patients?

No.

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