Use Cases for Health Systems & Providers:
By deploying AI agents powered by our Conversational AI platform, health systems provide patients with a digital health service that is secure and industry compliant - from selecting doctors and scheduling appointments, through ongoing care management.
- Intelligent IVR: Escalations, Call Routing, and Triage
- Find Locations, Doctors, and Services
- Scheduling Management (Schedule, Reschedule, Cancel, Confirm, Recall)
- Patient Outreach (Care Management, Care Gaps, PROs, Medication Adherence)
- Intake and Pre-Registration
- Patient Payments, Financial Assistance, Collections
- Symptom Checker, Virtual Triage, Risk Assessments
- Patient Surveys
Use Cases for Health Plans (Members):
Our AI agents act as trusted guides to doctors, dentists, and pharmacies, helping patients enroll in new health plans, determine coverage eligibility and benefits, update and expand coverage, and file and track claims.
- Update Profile, PCP, and Coverage Information
- Replace ID Cards/Password Resets
- Find a Provider, Dentist, or Pharmacy
- Coverage Benefits/Eligibility (Medical, Dental, and Pharmacy)
- Claims Inquiries and Explanations
- Enrollment
Use Cases for Health Plans (Providers):
Health plans deploy our AI agents as the first point-of-contact for members, offloading administrative tasks from employees while allowing members to quickly secure answers on coverage status, approvals, and authorizations.
- Approvals and Authorizations
- Member Coverage Status and Inquiries
- Provider Administrative Services
- Bill Payment Status
