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PSEMAS for AI agents

The PSEMAS connector lets Health Loops agents work with PSEMAS, a medical scheme in Namibia.

Start free with this agent

Ridgeway LogisticsBenefits agentWhatsApp

Customer: Does my plan cover physio?
Read the plan guide for the member’s optionPSEMAS
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 PSEMAS

Match the member to their PSEMAS option from the 2 on file (Standard Option and Higher Option), with their membership number, from a message or a photo of their card
Answer general questions about PSEMAS cover, and send plan-specific ones to the PSEMAS service line (061 374 150) 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 PSEMAS service line to confirm before an admission

Tools.

PSEMASLive Discovery HealthLive GEMSLive WhatsAppLive Nearby care finderLive

Country: Namibia
Type: Medical scheme
Options on file (2): Standard Option, Higher Option
Service line: 061 374 150

Questions

What can an AI agent do with PSEMAS?

Match the member to their PSEMAS option from the 2 on file (Standard Option and Higher Option), with their membership number, from a message or a photo of their card.

Is the PSEMAS connector live?

Yes.

Which PSEMAS options does the agent know?

2 options: Standard Option, Higher Option.

Does the agent quote PSEMAS benefits?

Not from memory.

Does the agent decide PSEMAS 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.