Custom, built in days
Claims agent for Star Health
The claims agent for Star Health explains Star Health statements line by line and chases missing claim documents.
Ridgeway LogisticsClaims agentWhatsApp
- Customer: Why do I still owe R640 on this?
- Read statement dated 3 OctoberStar Health
- Claims agent: Your scheme paid R1,560 of the R2,200 specialist bill, at the scheme’s rate. The R640 left is the specialist charging above that rate. You could ask the rooms if they’ll accept the scheme rate.
- Customer: Can you ask them?
- Claims agent: I can draft the message for you to send, with the claim details. Want it?
What it can do with Star Health
- Explains Star Health statements line by line and chases missing claim documents
- Read a member’s Star Health plan and benefits through the access your team has, such as an API, a file feed or a portal export
- Answer cover questions from your Star Health plan documents, with the figures for the member’s plan
- Check a claim’s status and chase the missing invoice, referral or form with the member
Questions
What does the claims agent do with Star Health?
Explains Star Health statements line by line and chases missing claim documents.
Is the Star Health connector live?
Not yet as a ready-made connector.
Does the claims agent change claim outcomes?
No.
Does the agent decide Star Health claims or authorisations?
No.
Can HR see what staff say to the agent?
No.
Ollie’s agents give wellness guidance. They don’t diagnose or prescribe, and hand off to a human expert when needed.