SENSENTIA FOR CALL CENTERS

The main reason people contact an insurance company is to verify benefits

Sensentia delivers results to health-related benefit questions, quickly and with high accuracy.

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BENEFIT ACCESS AI FOR

CALL CENTERS

Sensentia provides a call center solution to streamline the benefit verification workflow, cutting average handle times, improving first call resolution rates, improving compliance & quality, and shortening training.

Sensentia achieved significant results compared to the existing legacy systems.

Sensentia is deployed in multiple health insurance call centers including a Fortune 100 company. Our results are based on user studies across a variety of plans including ACA, small and large group, Medicare and Medicaid.

Read Case Study Patients usually have questions about their benefits' cost-share and availability

Sensentia makes answering your member’s questions easy and dramatically improves the efficiency of your CSRs and Associates.

Co-Insurance, Deductibles, Auhorization Requests, Exclusions, Conditions, Co-Pays, Out of Pockets, Referal Requirements, Inclusions, Benefit Maximums Sensentia's web-based User Interface

Inquiries can be made in multiple languages or by using CPT codes

The research of benefits for medical, dental, vision and ancillary services, places of services, and pharmacy products using brand or generic names is done in half the time, capable of reaching 100% accuracy.

“We have seen a lot of systems that were meant to help us but none of them took into consideration the whole picture. We have to meet our numbers. This is the first system I like.”

JILL. M,
CUSTOMER SUPPORT AGENT

Sensentia is deployed within the call centers of Fortune 100 Health Insurance companies.

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How It Works

Sensentia's core technology automatically models the knowledge in any textual document and answers questions against it. Questions are asked and answered in natural language, structured forms or through automated dialogue helping call centers refine their questions.

Contact us today to discuss how Sensentia can help your business