SENSENTIA AI FOR

MEMBERS

People contact their health plans over 1 BILLION times a year to ask questions about their benefits.

Schedule a Demo

SENSENTIA FOR MEMBERS

People contact their health plans over 1 BILLION times a year to ask questions about their benefits.

Most members find it challenging to understand their health insurance benefits. Sensentia simplifies insurance complexity empowering a well-informed consumer.

Schedule a Demo

BENEFIT ACCESS AI FOR

MEMBERS

«52% of consumers are unable to navigate health insurance on their own, triggering customer service calls.» - Accenture 2017

Now members can search with plain English terms to get specific benefit questions answered quickly and accurately.

The same technology that powers our call center solutions brings simplicity directly to members.

Sensentia is deployed within the call centers of a Fortune 100 Health Insurance company. Based on the results of our user studies across a variety of plans including ACA, small and large group, Medicare and Medicaid.

Members usually have questions about their benefits' cost-share and availability

Sensentia gives your member control of getting the answers they need at anytime and anywhere.

Co-Insurance, Deductibles, Auhorization Requests, Exclusions, Conditions, Co-Pays, Out of Pockets, Referal Requirements, Inclusions, Benefit Maximums Members usually have questions about their benefits' cost-share and availability Co-Insurance, Deductibles, Auhorization Requests, Exclusions, Conditions, Co-Pays, Out of Pockets, Referal Requirements, Inclusions, Benefit Maximums

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 99+% accuracy.

mobile ui icon

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