Live

Pre-authorisation agent for SMS

The pre-authorisation agent for SMS collects documents on SMS, including photos.

Coastline Medical SchemePre-authorisation agentSMS
  1. Customer: I need a knee scope next month. What do I do?
  2. Read the plan’s authorisation rulesDiscovery Health
  3. 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?
  4. Customer: I’ll send a photo.
  5. Quote received: codes and hospital foundHealth Loops
  6. Complete request sent to the authorisation team
Sample conversation. People, brands and figures are made up.

What it can do with SMS

  • Collects documents on SMS, including photos
  • Send one message or up to 500 at once
  • Check opt-outs before every send
  • Time delivery to the person’s time zone and quiet hours

Questions

What does the pre-authorisation agent do with SMS?

Collects documents on SMS, including photos.

Is the SMS connector live?

Yes.

Does the pre-authorisation agent approve procedures?

No.

Is it the same agent on SMS as on our website?

Yes.

Where do the agent’s answers about benefits come from?

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.