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Renaissance Health for AI agents

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

Ridgeway LogisticsBenefits agentWhatsApp
  1. Customer: Does my plan cover physio?
  2. Read the plan guide for the member’s optionRenaissance Health
  3. 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?
  4. Customer: Yes please.
  5. Found 3 nearbyNearby care finder
Sample conversation. People, brands and figures are made up.

What an agent can do with Renaissance Health

  • Match the member to their Renaissance Health option from the 6 on file (Premiere Care, Evolve Care, Esteem Care 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 Renaissance Health 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
  • Find network hospitals, clinics and GPs near the member, then give the Renaissance Health service line to confirm before an admission

Tools.

Country
Namibia
Type
Medical scheme
Options on file (6)
Premiere Care, Evolve Care, Esteem Care, Caliber Care, Status Care, Prestige Care
Service line
083 299 9000
Plan guide
Indexed: answers cite the scheme’s own guide

Questions

What can an AI agent do with Renaissance Health?

Match the member to their Renaissance Health option from the 6 on file (Premiere Care, Evolve Care, Esteem Care and 3 more), with their membership number, from a message or a photo of their card.

Is the Renaissance Health connector live?

Yes.

Which Renaissance Health options does the agent know?

6 options: Premiere Care, Evolve Care, Esteem Care, Caliber Care, Status Care, Prestige Care.

Where do answers about Renaissance Health benefits come from?

From the Renaissance Health plan guide for the member’s option, which Ollie indexes and refreshes.

Does the agent decide Renaissance Health 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.