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SHA Kenya for AI agents

The SHA Kenya connector lets Health Loops agents work with SHA Kenya, a health insurer in Kenya.

Ridgeway LogisticsBenefits agentWhatsApp
  1. Customer: Does my plan cover physio?
  2. Read the plan guide for the member’s optionSHA Kenya
  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 SHA Kenya

  • Match the member to their SHA Kenya option from the 1 on file (Social Health Insurance), with their membership number, from a message or a photo of their card
  • Answer general questions about SHA Kenya cover, and send plan-specific ones to the SHA Kenya service line 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 SHA Kenya service line to confirm before an admission

Tools.

Country
Kenya
Type
Health insurance
Options on file (1)
Social Health Insurance

Questions

What can an AI agent do with SHA Kenya?

Match the member to their SHA Kenya option from the 1 on file (Social Health Insurance), with their membership number, from a message or a photo of their card.

Is the SHA Kenya connector live?

Yes.

Which SHA Kenya options does the agent know?

1 option: Social Health Insurance.

Does the agent quote SHA Kenya benefits?

Not from memory.

Does the agent decide SHA Kenya 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.