Health insurance
Benefit questions answered from the actual policy
Health cover is dense, exception-heavy and personal. Heard answers from the member’s specific schedule — not a generic FAQ — and escalates the moment a question needs clinical judgement.
- of answers cited to a source document
- 100%
- clinical decisions made by AI
- 0
- faster than looking it up mid-call
- 4x
The problem
Why this line is hard
Members ask what is covered, at which provider, with what excess. The answer lives across a policy wording, a schedule, an endorsement and a network list. Agents spend the call looking it up.
Use cases
What the agent handles
Each of these is a flow you can inspect, change and test — not a black box.
Benefit and cover checks
Grounded in the member’s own schedule, with the clause it came from cited.
Pre-authorisation status
Where the request is, what is missing, what happens next.
Provider network queries
Who is in network, where, and what the member will pay.
Claim submission chase
Document reminders and status updates without a human in the loop.
Clinical escalation
Anything needing medical judgement is routed to a person immediately, with full context.
Other lines
Also supported
Motor & automotive
A collision at 11pm generates a phone call, not a support ticket. Heard answers it, takes the first notice of loss properly, and has the assessor booked before your team opens in the morning.
Learn moreTravel insurance
Travel claims happen far away, in the wrong time zone, at the worst moment. Heard is awake, speaks to them immediately, and settles what can be settled on the spot.
Learn moreBanking & fintech
Banks and fintechs distribute insurance to millions of customers who did not come to them for insurance. When those customers do have a question, the volume is enormous and the intent is thin.
Learn moreSee Heard on your health insurance calls
Bring a recording of a real conversation from this line. We will show you exactly what the agent does with it.