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The Informational Agent (Health Benefits and Plans) automates support for patients and employees, providing clear and fast information about health plans, coverage, procedure authorization, and other related queries. This agent eliminates the need for lengthy manual interactions, offering personalized informational support that enhances user experience and increases operational efficiency.
1. Quick and accurate responses: Reduces waiting time for clarifications about health plans.
2. Improved user experience: Clear and accessible information increases patients' and employees' confidence in using the plan.
3. Automation of repetitive processes: Reduces the administrative workload of support teams, freeing time for strategic tasks.
4. Increased engagement with benefits: Promotes proper and comprehensive use of health plan benefits.
5. Financial transparency: Clarifies doubts about costs and conditions, increasing user satisfaction.
Ana, an employee seeking information about imaging exams:
The agent informs that her plan covers exams such as magnetic resonance imaging, but that prior authorization is required.
It guides Ana through the request process, explaining the necessary documents and response times.
Ana is also informed about accredited laboratories near her residence that perform the exam.
After completing the exam, the agent sends a summary of possible copayments associated with the procedure.
1. Quick and accurate responses: Reduces waiting time for clarifications about health plans.
2. Improved user experience: Clear and accessible information increases patients' and employees' confidence in using the plan.
3. Automation of repetitive processes: Reduces the administrative workload of support teams, freeing time for strategic tasks.
4. Increased engagement with benefits: Promotes proper and comprehensive use of health plan benefits.
5. Financial transparency: Clarifies doubts about costs and conditions, increasing user satisfaction.
Ana, an employee seeking information about imaging exams:
The agent informs that her plan covers exams such as magnetic resonance imaging, but that prior authorization is required.
It guides Ana through the request process, explaining the necessary documents and response times.
Ana is also informed about accredited laboratories near her residence that perform the exam.
After completing the exam, the agent sends a summary of possible copayments associated with the procedure.
Health Benefits and Plans
Continuously available to clarify doubts and guide patients and employees in using their health plans.
A practical and efficient solution to increase transparency and accessibility of health plan information, improving user experience.
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