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Profmed for AI agents

The Profmed connector lets Health Loops agents work with Profmed, a medical scheme in South Africa.

Start free with this agent

Ridgeway LogisticsBenefits agentWhatsApp

Customer: Does my plan cover physio?
Read the plan guide for the member’s optionProfmed
Benefits agent: Your plan guide pays that from your day-to-day benefit, up to its annual limit. From the statement you sent on 3 October, you have about R2,300 left. Want the nearest network options?
Customer: Yes please.
Found 3 nearbyNearby care finder

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

What an agent can do with Profmed

Match the member to their Profmed option from the 5 on file (ProActive Plus, ProSelect, ProSecure and 2 more), with their membership number, from a message or a photo of their card
Answer general questions about Profmed cover, and send plan-specific ones to the Profmed service line (0860 679 200) rather than guess
Read a claims or benefit statement the member sends and explain each line still owed, in plain words
Find network hospitals, clinics and GPs near the member, then give the Profmed service line to confirm before an admission

Tools.

ProfmedLive Discovery HealthLive GEMSLive WhatsAppLive Nearby care finderLive

Country: South Africa
Type: Medical scheme
Options on file (5): ProActive Plus, ProSelect, ProSecure, ProSecure Plus, ProPinnacle
Service line: 0860 679 200

Questions

What can an AI agent do with Profmed?

Match the member to their Profmed option from the 5 on file (ProActive Plus, ProSelect, ProSecure and 2 more), with their membership number, from a message or a photo of their card.

Is the Profmed connector live?

Yes.

Which Profmed options does the agent know?

5 options: ProActive Plus, ProSelect, ProSecure, ProSecure Plus, ProPinnacle.

Does the agent quote Profmed benefits?

Not from memory.

Does the agent decide Profmed claims or authorisations?

No.

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