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Pre-authorisation agent for Momentum Health4Me

The pre-authorisation agent for Momentum Health4Me gathers what a pre-authorisation needs before a planned procedure.

Riverside Family ClinicPre-authorisation agentWhatsApp

Customer: I need a knee scope next month. What do I do?
Read the plan’s authorisation rulesMomentum Health4Me
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?
Customer: I’ll send a photo.
Quote received: codes and hospital foundHealth Loops
Complete request sent to the authorisation team

Sample conversation. People, brands and figures are made up.

What it can do with Momentum Health4Me

Reads the Momentum Health4Me authorisation rules for the member’s plan and gathers what they need
Match the member to their Momentum Health4Me option from the 3 on file (Bronze, Silver and Gold), with their membership number, from a message or a photo of their card
Answer general questions about Momentum Health4Me cover, and send plan-specific ones to the Momentum Health4Me service line rather than guess
Read a claims or benefit statement the member sends and explain each line still owed, in plain words

Reads the Momentum Health4Me authorisation rules for the member’s plan and gathers what they need.

Yes.

No.

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No.

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