Winner CES 2026 · ISE 2026 · TMCnet 2026

AI Knowledge for Health Payers. A knowledge base for health plan member services, tested nightly

AI Knowledge is the knowledge base for health plan member services that every AI answer comes from: your plan pages, approved answers, scripts and the rules of what the AI must never say and always say. Each rule can carry its own test, run every night, and new answers wait for your approval before the AI uses them.

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Zanus AI · AI Knowledge · Nightly tests
Knowledge base for health plan member services: rule tests shown green or red after each nightly run, real screen

Nightly tests

Each rule's test runs every night and shows green or red, so a rule the AI stopped keeping is seen the next morning.

Easy setupSet up everything just by talking to Lisa AISee how ›

You“Never tell a member what a claim will pay; always offer member services.”

Lisa“Rule added: never say what a claim will pay, and always offer member services instead, with a test that runs each night. Apply?”

You talk. Lisa sets it up. Applied only on your yes.

How Health Payers use it

1

A rule says the AI never tells a member whether a service is covered, and its test runs every night.

2

A question members keep asking about the drug list shows up as a gap, and your team writes the answer once.

3

An always-say rule makes every call about appeals end with the address and the deadline from your notice.

REAL AI - the whole Front Office is AI, not old software with an AI button.

What’s included

  • The start: the first questions, answered typed or by talking
  • The company: identity, locations, hours, departments, people, catalog
  • The rules: never, always, scripts, procedures, answers and must-ask
  • The library: catalog, pages, documents, websites, pictures, videos, software
  • Websites: your site read again every day, new pages added
  • Auto-Retraining: every conversation reviewed for gaps and lessons
  • Quality tests: rule tests, approved answers and picture sets every night
  • The company file: export and import everything the AI knows

The rules

Never-say rules for health plan AI, with their tests

Never say

What a claim will pay, whether a member is covered, a diagnosis: rules the AI keeps on every channel.

Always say

The appeal deadline, the nurse line number or the language line: sentences the AI adds when the topic comes up.

Tested every night

Each rule can carry a test question, run nightly and shown green or red, so a broken rule is seen the next morning.

Set-up

Approved answers for member questions in 2 minutes

1

Lisa reads your site

Your plan pages are read and kept up to date, so the AI starts from what your members already see.

2

Write the rules

Tell Lisa what the AI must never say and always say, in your own words.

3

Add the tests

Give each important rule a test question and the answer it must pass.

4

Approve what it learns

Read the new answers it gathered during your 7-day free trial, no credit card, and deploy the ones you approve.

Questions & answers

AI Knowledge for Health Payers: questions & answers

How do we stop the AI from giving coverage decisions?

With a never-say rule: the AI never tells a member whether a service is covered or what they owe, and offers member services instead. The rule can carry a test that runs every night, green or red.

Where do the AI's answers come from?

From your plan pages, the documents you add, your approved answers and your rules. A question it cannot answer from them is logged as a gap for your team. Approved answers are replayed every day, which keeps tested answers for provider calls from fading.

Does the AI learn from member calls by itself?

The retrainer gathers new answers from conversations, and they wait for your team under Approve and deploy. Personal data is never learned.

What happens when two rules clash?

Rules that contradict each other are shown side by side as a pair, so your team picks the one the AI follows on every channel.

Keep exploring

Where next?

Start with the one thing you need. Add more anytime by asking Lisa.
AI Front Office for Health Payers ›

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 ›
TMCnet Enterprise AI Product of the Year 2026
Visitors meeting Zanus AI live at a 2026 trade show
Hands-on with the Zanus AI demo at a 2026 technology trade show

Give Lisa your website.
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Try it free on your own business — no credit card, per company, never per seat.

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Or call +1 (954) 736-3939 — the AI answers.