Live

Sizwe Hosmed for AI agents

The Sizwe Hosmed connector lets Health Loops agents work with Sizwe Hosmed, a medical scheme in South Africa.

Ridgeway LogisticsBenefits agentWhatsApp
  1. Customer: Does my plan cover physio?
  2. Read the plan guide for the member’s optionSizwe Hosmed
  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 Sizwe Hosmed

  • Match the member to their Sizwe Hosmed option from the 5 on file (Access, Ascend, Ultimate and 2 more), with their membership number, from a message or a photo of their card
  • Answer general questions about Sizwe Hosmed cover, and send plan-specific ones to the Sizwe Hosmed service line (0860 100 871) 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 Sizwe Hosmed service line to confirm before an admission

Tools.

Country
South Africa
Type
Medical scheme
Options on file (5)
Access, Ascend, Ultimate, Gomomo, Primary
Service line
0860 100 871

Questions

What can an AI agent do with Sizwe Hosmed?

Match the member to their Sizwe Hosmed option from the 5 on file (Access, Ascend, Ultimate and 2 more), with their membership number, from a message or a photo of their card.

Is the Sizwe Hosmed connector live?

Yes.

Which Sizwe Hosmed options does the agent know?

5 options: Access, Ascend, Ultimate, Gomomo, Primary.

Does the agent quote Sizwe Hosmed benefits?

Not from memory.

Does the agent decide Sizwe Hosmed 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.