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Claims agent for Nammed

The claims agent for Nammed explains Nammed statements line by line and chases missing claim documents.

Ridgeway LogisticsClaims agentWhatsApp
  1. Customer: Why do I still owe R640 on this?
  2. Read statement dated 3 OctoberNammed
  3. Claims agent: Your scheme paid R1,560 of the R2,200 specialist bill, at the scheme’s rate. The R640 left is the specialist charging above that rate. You could ask the rooms if they’ll accept the scheme rate.
  4. Customer: Can you ask them?
  5. Claims agent: I can draft the message for you to send, with the claim details. Want it?
Sample conversation. People, brands and figures are made up.

What it can do with Nammed

  • Explains Nammed statements line by line and chases missing claim documents
  • Match the member to their Nammed option from the 6 on file (Basic, Active, Essential and 3 more), with their membership number, from a message or a photo of their card
  • Answer what the member’s option covers from the Nammed plan guide, with the figures for their option and the source shown
  • Read a claims or benefit statement the member sends and explain each line still owed, in plain words

Questions

What does the claims agent do with Nammed?

Explains Nammed statements line by line and chases missing claim documents.

Is the Nammed connector live?

Yes.

Does the claims agent change claim outcomes?

No.

Does the agent decide Nammed claims or authorisations?

No.

Can HR see what staff say to the agent?

No.

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