Custom, built in days
Claims agent for Telegram
The claims agent for Telegram takes statements and documents on Telegram, including photos.
Coastline Medical SchemeClaims agentTelegram
- Customer: Why do I still owe R640 on this?
- Read statement dated 3 OctoberDiscovery 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 Telegram
- Takes statements and documents on Telegram, including photos
- Run your agent as a Telegram bot
- Send reminders and check-ins to people who opt in
- Accept photos and voice notes
Questions
What does the claims agent do with Telegram?
Takes statements and documents on Telegram, including photos.
Is the Telegram connector live?
Not yet as a ready-made connector.
Does the claims agent change claim outcomes?
No.
Is it the same agent on Telegram 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.