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Pre-authorisation agent for Sanlam Reality

The pre-authorisation agent for Sanlam Reality gathers what a pre-authorisation needs before a planned procedure.

Your medical aidPre-authorisation agentWhatsApp

Customer: I need a knee scope next month. What do I do?
Read the plan’s authorisation rulesSanlam Reality
Pre-authorisation agent: You’ll need authorisation before you’re admitted. Your plan guide asks for the doctor’s quote with the procedure codes and the hospital’s name. Do you have the quote?
Customer: I’ll send a photo.
Quote received: codes and hospital foundHealth Loops
Complete request sent to the authorisation team

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

What it can do with Sanlam Reality

Reads the Sanlam Reality authorisation rules for the member’s plan and gathers what they need
Save the member’s Sanlam Reality status (Bronze, Silver, Gold) so every answer starts from where they are
Explain how Sanlam Reality rewards are earned and claimed, from the programme’s published rules with the date they were checked
Remind the member of monthly and yearly goals before they reset, and suggest one thing to do this week

Reads the Sanlam Reality authorisation rules for the member’s plan and gathers what they need.

Yes.

No.

No.

From the scheme’s own published plan guide for the member’s option, and from statements the member sends.

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