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Results follow-up agent for PSEMAS

The results follow-up agent for PSEMAS points PSEMAS members to the benefit that pays for the follow-up.

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Riverside Family ClinicResults follow-up agentWhatsApp
  1. Repeat test due: 3 months after the last resultPSEMAS
  2. Results follow-up agent: Hi Johan, your doctor asked for a repeat cholesterol test around now. Want me to book it?
  3. Customer: Where’s closest?
  4. Found 3 collection points within 4 kmNearby care finder
  5. Results follow-up agent: The closest is 1.2 km away and open until 16:00. Tomorrow at 8:00? It’s a fasting test, so nothing but water after 22:00 tonight.
  6. Customer: Perfect.
Sample conversation. People, brands and figures are made up.

What it can do with PSEMAS

  • Points PSEMAS members to the benefit that pays for the follow-up
  • 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

Tools.

PSEMASLiveFHIR lab resultsCustomNearby care finderLiveWhatsAppLiveGoogle CalendarCustom

Questions

What does the results follow-up agent do with PSEMAS?

Points PSEMAS members to the benefit that pays for the follow-up.

Is the PSEMAS connector live?

Yes.

Where does the results follow-up agent get the next step from?

From the report, the referring doctor or your own rules.

Does the agent decide PSEMAS claims or authorisations?

No.

Does the agent triage or diagnose patients?

No.

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

The results follow-up agent by vertical

Other agents for PSEMAS

The results follow-up agent with other connectors