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Results follow-up agent for UnitedHealthcare

The results follow-up agent for UnitedHealthcare points UnitedHealthcare members to the benefit that pays for the follow-up.

Riverside Family ClinicResults follow-up agentWhatsApp
  1. Repeat test due: 3 months after the last resultUnitedHealthcare
  2. Results follow-up agent: Hi Johan, your doctor asked for a repeat cholesterol test around now. Want me to book it?
  3. Customer: Where’s closest?
  4. Found 3 collection points within 4 kmNearby care finder
  5. Results follow-up agent: The closest is 1.2 km away and open until 16:00. Tomorrow at 8:00? It’s a fasting test, so nothing but water after 22:00 tonight.
  6. Customer: Perfect.
Sample conversation. People, brands and figures are made up.

What it can do with UnitedHealthcare

  • Points UnitedHealthcare members to the benefit that pays for the follow-up
  • Match the member to their UnitedHealthcare option from the 3 on file (Choice, Choice Plus and Options PPO), with their membership number, from a message or a photo of their card
  • Answer general questions about UnitedHealthcare cover, and send plan-specific ones to the UnitedHealthcare service line rather than guess
  • Read a claims or benefit statement the member sends and explain each line still owed, in plain words

Questions

What does the results follow-up agent do with UnitedHealthcare?

Points UnitedHealthcare members to the benefit that pays for the follow-up.

Is the UnitedHealthcare connector live?

Yes.

Where does the results follow-up agent get the next step from?

From the report, the referring doctor or your own rules.

Does the agent decide UnitedHealthcare claims or authorisations?

No.

Does the agent triage or diagnose patients?

No.

Ollie’s agents give wellness guidance. They don’t diagnose or prescribe, and hand off to a human expert when needed.