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Claims agent for Voice and phone calls
A ready-made Health Loops agent that takes statements and documents on Voice and phone calls, including photos.
Coastline Medical SchemeClaims agentVoice and phone calls
- 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 Voice and phone calls
- Takes statements and documents on Voice and phone calls, including photos
- Call a person’s phone number, or talk in the browser from your app or site
- Ask what your team would ask, in your brand’s voice
- End every call with a transcript and a summary on the person’s record
Questions
What does the claims agent do with Voice and phone calls?
Takes statements and documents on Voice and phone calls, including photos.
Is the Voice and phone calls connector live?
Yes.
Does the claims agent change claim outcomes?
No.
Is it the same agent on Voice and phone calls 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.