Custom, built in days
Pre-authorisation agent for Star Health
The pre-authorisation agent for Star Health gathers what a pre-authorisation needs before a planned procedure.
Your health insurerPre-authorisation agentWhatsApp
- Customer: I need a knee scope next month. What do I do?
- Read the plan’s authorisation rulesStar Health
- 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
What it can do with Star Health
- Reads the Star Health authorisation rules for the member’s plan and gathers what they need
- 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 pre-authorisation agent do with Star Health?
Reads the Star Health authorisation rules for the member’s plan and gathers what they need.
Is the Star Health connector live?
Not yet as a ready-made connector.
Does the pre-authorisation agent approve procedures?
No.
Does the agent decide Star Health claims or authorisations?
No.
Are scan results or chats used to price cover?
No.
Ollie’s agents give wellness guidance. They don’t diagnose or prescribe, and hand off to a human expert when needed.
The pre-authorisation agent by vertical
Other agents for Star Health
The pre-authorisation agent with other connectors
- Pre-authorisation agent for Discovery Health
- Pre-authorisation agent for GEMS
- Pre-authorisation agent for Bonitas
- Pre-authorisation agent for Polmed
- Pre-authorisation agent for Momentum Medical Scheme
- Pre-authorisation agent for Bestmed
- Pre-authorisation agent for LA Health
- Pre-authorisation agent for Bankmed