AI Auto-Call for Health Payers. ID cards mailed, deadlines near, members called.
AI Auto-Call places the outbound calls a member-services team never has time for: the ID card has been mailed and coverage starts on the 1st, open enrollment closes Friday, the callback a member asked for, a premium payment reminder in your approved wording. Consent and calling-hours rules apply, retries and an e-mail fallback follow, and every outcome is recorded.
TRY AI AUTO-CALL FREENo credit card · Ready in 2 minutes7 days free · per company, never per seat · nothing to install
You talk. Lisa sets it up.
You“Call new members when their ID card ships, weekdays between 10 AM and 7 PM.”
Lisa“Done: new members get a call when their ID card ships, weekdays from 10 AM to 7 PM, with an e-mail if nobody answers.”
Any setting, in any module · applied only on your yes
How Health Payers use it
A new member gets a call saying her ID card has been mailed and her coverage starts on the 1st.
Members who have not confirmed a plan hear that open enrollment closes Friday and can book a call with an advisor.
A member who abandoned the queue at 4:50 PM is called back at 8:30 the next morning and connected to claims.
REAL AI - the whole Front Office is AI, not old software with an AI button.
What’s included
- Outbound calls by the AI: appointment reminders, notices, confirmations, callbacks
- Consent and calling-hours rules; retries and an e-mail fallback when nobody answers
- Every outcome recorded on the register and on the customer's record; a person alerted when needed
Add it to AI Phone or get it inside a solution · See pricing › · Per company, never per seat.
Everything AI Auto-Call does, for every business ›
Works withAI PhoneAI BookingAI QuotingAI Tickets
Questions & answers
AI Auto-Call for Health Payers: questions & answers
Can an AI make outbound calls to health plan members?
Yes. AI Auto-Call places reminders, notices, confirmations and callbacks in your approved wording, within the consent and calling-hours rules you set. It retries when nobody answers, falls back to an e-mail and records each outcome.
Can the AI discuss claims during an outbound call?
No. Outbound calls carry notices such as an ID card mailed or an enrollment deadline. When a member raises a claim, a bill or a medical question, a person is alerted and the member is offered a transfer or a callback.
Can the AI remind members about a missed premium payment?
Yes, with the wording and payment options you approve. A member who asks about a balance or wants to dispute it is passed to billing rather than answered by the AI.
Keep exploring
Where next?
Start with the one thing you need. Add more anytime by asking Lisa.
AI Front Office for Health Payers ›
Answers & books
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Included
Award-winning AI
Winner at CES 2026, ISE 2026 and TMCnet Enterprise AI Product of the Year.
REAL AI - the whole Front Office is AI, not old software with an AI button.
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