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Pre-authorisation agent for Momentum Multiply

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

Your medical aidPre-authorisation agentWhatsApp
  1. Customer: I need a knee scope next month. What do I do?
  2. Read the plan’s authorisation rulesMomentum Multiply
  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 Momentum Multiply

  • Reads the Momentum Multiply authorisation rules for the member’s plan and gathers what they need
  • Save the member’s Momentum Multiply status (Rewards level 1, Rewards level 2, Rewards level 3, Rewards level 4, Rewards level 5) so every answer starts from where they are
  • Explain how Momentum Multiply rewards are earned and claimed, from the programme’s published rules with the date they were checked
  • Remind the member of weekly, monthly and yearly goals before they reset, and suggest one thing to do this week

Questions

What does the pre-authorisation agent do with Momentum Multiply?

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

Is the Momentum Multiply connector live?

Yes.

Does the pre-authorisation agent approve procedures?

No.

Does the agent decide Momentum Multiply claims or authorisations?

No.

Where do the agent’s answers about benefits come from?

From the scheme’s own published plan guide for the member’s option, and from statements the member sends.

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