Claims status and remaining benefits
Members ask what was paid on a claim, what's left on extras for the year, or whether a procedure is covered. Answered against the member record (mock here, your policy systems in production).
Built for GMHBA
We built this for GMHBA.
A working AI member-services agent for claims, hospital and extras cover, and membership questions. Resolves end-to-end by piecing together policy, claims and provider context. Built from public information, ready in days.
☎Or call +61 480 890 107AU number. Voice agent answers 24/7 during the demo period.
What the agent does for members and families
Policy changes logged, not actioned
Add a dependant, change cover, update payment, suspend cover — the agent captures the request and logs it to GMHBA Member Operations with a reference ID and 2-business-day SLA. Humans process it.
Stays out of clinical territory
Medical necessity questions get politely redirected to the member's treating clinician. The agent stays in its lane: cover, claims, membership.
Ready to plug this into GMHBA’s real systems?
Same workflows, your CRM, your knowledge base, your guardrails. Production-ready in days, not months.
Finish setting up your sandbox