AI E-mail for Health Payers. An AI email responder for health plans and TPAs
AI E-mail is an AI email responder for health plans that reads every mail sent to your member services, provider relations and broker inboxes, finds the sender and writes the reply from your plan documents and approved answers. Each department decides whether the AI sends alone or a person approves first.
TRY AI E-MAIL FREENo credit card · Ready in 2 minutesReady to buy? See plans & pricing ›
7 days free · per company, never per seat · nothing to install
Needs you
One list gathers the mails that need a person across every department and mailbox, each with a suggestion and a Do it button beside it.
Easy setupSet up everything just by talking to Lisa AISee how ›You“Member services replies wait for approval; provider relations can answer manual questions alone.”
Lisa“Member services drafts wait for a person's click, and provider relations answers manual questions on its own. Apply?”
You talk. Lisa sets it up. Applied only on your yes.
How Health Payers use it
A member asks how to submit a receipt for an out-of-network visit; the reply explains the steps from your member handbook.
A billing service asks where corrected claims go; Lisa drafts the answer from your provider manual for provider relations to send.
A member writes to cancel her coverage; the thread goes to a person, because the AI never cancels anything.
REAL AI - the whole Front Office is AI, not old software with an AI button.
What’s included
- Your own sending domain, set up and warmed for you; replies land in Front Office, not in a personal inbox
- Drafts and answers from your approved knowledge, in the customer's language; approve each one or let it send under rules you set
- Take over any thread and send from your own address; connect your Google or Microsoft mailbox for personal mail
- Every thread on the customer's record; a reply stops any running follow-up and alerts the owner
- Templates written from your knowledge; deliverability report, bounces, complaints, engagement
- Attachments, quotes and confirmations sent from the same place; nothing typed twice
Available on its own or inside a solution · See pricing › · Per company, never per seat.
Everything AI E-mail does, for every business ›
Works withLisa, your AI assistantAI Follow-upAI QuotingAI BookingAI TicketsAI Returns & Warranty
Every inbox
Member services inbox automation, desk by desk
Member services
Plan questions, card requests and handbook answers are drafted from your documents and wait in Ready to send for one click.
Provider relations
Claim addresses, filing windows and form questions get provider relations email replies drafted from your provider manual, sent alone when that desk allows it.
Broker support
Renewal packets, enrollment deadlines and meeting requests sent to the broker support inbox land on the broker desk with the agency's contact attached.
Only what needs you
Disputes, cancellations and anything about a member's own claim gather in Needs you, each with Lisa's proposal beside it.
Set-up
A health plan shared inbox in 2 minutes
Add your addresses
Add the member services, provider relations and broker addresses and the desk each one lands on; your mailboxes stay as they are.
Choose who answers
Say which member and provider desks Lisa may answer by herself and which need a person's click; you see each change before and after.
Set the response time
Choose after how many working hours an unanswered member mail counts as overdue, desk by desk.
A week of drafts, free
Try it on your own inboxes for 7 days with no credit card and read every reply Lisa prepared, sent or held.
Questions & answers
AI E-mail for Health Payers: questions & answers
Can an AI answer health plan member e-mails?
Yes. AI E-mail writes each reply from your plan documents and approved answers, in the sender's language. By default a person approves every draft; a department moves to the AI sending alone only when you decide.
What happens to an e-mail about a denied claim or an appeal?
It waits for a person in Needs you, with Lisa's summary and a proposed direction. The AI never says whether a claim will be paid, and appeals and grievances stay with the team you name.
Can member services, provider relations and brokers share one system?
Yes. Each address lands on its own desk with its own rule, colour and response time, and each person reads only the desks their scope covers.
How do we keep the AI from replying in circles?
After the number of AI replies you set on one thread, the thread goes to a person with a copy to your escalation inbox. An unclear reply gets one polite question first.
Do replies go out from our own addresses?
Yes. Replies leave from your own member services or provider relations address, with the person's signature and your footer, and land in that mailbox's Sent folder.
Keep exploring
Where next?
Start with the one thing you need. Add more anytime by asking Lisa.
AI Front Office for Health Payers ›
Easy setup
Answers & books
Sells
Helps your team
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.
Awards & trade shows ›
Give Lisa your website.
She sets up your business in 2 minutes.
Other software makes you learn it. Zanus AI learns your business.
Try it free on your own business — no credit card, per company, never per seat.
Ready to buy? See plans & pricing ›
Or call +1 (954) 736-3939 — the AI answers.