Custom, built in days
Claims agent for Oracle Health
The claims agent for Oracle Health fetches the invoice a claim is waiting on from Oracle Health.
Harbour Health CoverClaims agentWhatsApp
- Customer: Why do I still owe R640 on this?
- Read statement dated 3 OctoberOracle Health
- 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.
- Customer: Can you ask them?
- Claims agent: I can draft the message for you to send, with the claim details. Want it?
What it can do with Oracle Health
- Fetches the invoice a claim is waiting on from Oracle Health
- Read upcoming appointments and the reason for each visit from Oracle Health
- Write the intake given before the visit into the record, for the clinician to review
- Attach a call transcript, a scan report or a summary to the right record
Questions
What does the claims agent do with Oracle Health?
Fetches the invoice a claim is waiting on from Oracle Health.
Is the Oracle Health connector live?
Not yet as a ready-made connector.
Does the claims agent change claim outcomes?
No.
Does the agent write into Oracle Health?
Only what you allow: usually intake answers, call summaries and documents, for your clinicians to review.
Are scan results or chats used to price cover?
No.
Ollie’s agents give wellness guidance. They don’t diagnose or prescribe, and hand off to a human expert when needed.