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Claims agent for WhatsApp
The claims agent for WhatsApp takes statements and documents on WhatsApp, including photos.
Coastline Medical SchemeClaims agentWhatsApp
- 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 WhatsApp
- Takes statements and documents on WhatsApp, including photos
- Answer customers and members on your own WhatsApp business number, day and night
- Read photos and voice notes, like a membership card, a label or a lab report
- Send approved templates for reminders and check-ins outside the 24-hour window
Questions
What does the claims agent do with WhatsApp?
Takes statements and documents on WhatsApp, including photos.
Is the WhatsApp connector live?
Yes.
Does the claims agent change claim outcomes?
No.
Is it the same agent on WhatsApp 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.