ZANUS FRONT OFFICE FOR HEALTH INSURERS & PAYERS
Next-generation AI for Health Insurers & Payers. Try it free on your own health plan. No credit card.
Every member call answered. Every provider verified. Open enrollment without the queue. ZANUS AI Front Office for Health Insurers & Payers is the AI member-services desk, provider line, broker desk and follow-up desk for health plans, third-party administrators and benefits administrators. It answers members, provider offices, brokers and employer groups on phone, website chat, email and web forms — verifies the caller by your rules, answers ID-card, in-network, benefit-summary and claim-status questions from your approved plan information, files the request, builds the small-group quote from your rate tables, books the enrollment meeting and chases the missing census until it is complete. Coverage determinations, appeals and anything medical go to your people; the routine stops queuing in January. Grounded only in the information your plan approves: no source, no claim.
Try it free 7 days on your own business · no credit card · per company, never per seat
REAL AI - the whole Front Office is AI, not old software with an AI button. Give it your website: it learns your company, works from your approved knowledge and gets better with every answer you approve.
Live on this site right now — the assistant in the corner is the product · Award-winning AI — CES · ISE · TMCnet
The real Front Office dashboard: today’s numbers, what needs a person, every menu on the left. In the trial it is yours, with your company in it.
FREE TRIAL · 7 DAYS · NO CREDIT CARD
Give us your website. Ten minutes later, your company answers the phone.
“Give us your website. Ten minutes later Zanus has built a private 7-day sandbox around your company: your knowledge, a phone line that answers as you, your website with Lisa on it, your dashboard with your data. Not old software with an AI button — the AI is the software.”
“No card. No setup fee. Per company, never per seat. You decide after you hear it answer as your company.” One trial per company: a working business website and an e-mail on its domain.
- 1Your website. Lisa reads it and proposes your departments and people; she asks only what the site does not say.
- 2Your sandbox, in ten minutes. A phone line in your area code that answers as you and transfers to your real phones, your website with Lisa on it, your dashboard with your data.
- 3Seven days on your business. Day 1 the first call; day 3 a mail “what your callers asked”; day 7 a report.
- 4Keep it or walk away. Buy any solution on any day and the sandbox becomes the account — same number, same knowledge, nothing redone. Walk away and nothing is charged.
How you start
Three steps, in the order you like. Most people skip straight to the second.
Two minutes. The AI presents the Front Office and answers your questions live — the demo is the product.
Your website, your phone line, your dashboard. No card, nothing to install. Start free
Any solution, on any day of the trial — the sandbox becomes your account. Per company, never per seat. See pricing →
Prefer to own your AI on your own premises? See AI Servers — a separate product. The Front Office above needs no server.
One AI Front Office. Every job your member-services center does today.
The same 31 menus, read through a member-services director’s eyes. Each function below is a page of its own, in your vocabulary — enable what your plan includes, add more when the book of business grows. No platform project. Comparing options? See the comparison →
Every morning: last night’s member and provider calls, requests filed, quotes sent, enrollments stalled — and which members need a representative today.
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Member & Provider LinesAnswers the member line and the provider line on your menu, 24/7 — verifies the caller, answers ID-card, network and status questions, files the request, transfers determinations to your people.
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AI Chat & VoiceWebsite and portal chat that answers “is my doctor in network”, “where is my ID card” and “what is my deductible status” from your approved plan information — and files the request in the conversation.
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AI AvatarA lifelike face that greets members on your site, explains how the plan works and walks a new member through the first weeks of coverage — in 40 languages.
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AI DemoInteractive plan explainers: how your deductible works, how to use telehealth, how to read an explanation of benefits — narrated by AI, any hour, for members and employer groups.
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Quote & Enrollment FormsBroker quote requests, census uploads, enrollment forms and contact-us submissions worked in minutes — missing fields chased until the file is complete.
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Member RecordsThe front-office member record: every call, chat, email, form and request in one timeline — not the claims system, the conversation record, linked to the employer group and the broker.
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AI E-mailID-card, plan-document and claim-status emails answered from your approved information; appeals, disputes and anything medical routed to the right team with the thread summarized.
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Group Quotes & RenewalsSmall-group quotes and renewal proposals from your approved rate tables and plan designs — sent as a clean document, followed up until the broker answers. Underwriting stays yours.
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Enrollment Follow-upWelcome, ID-card-shipped, enrollment-deadline, renewal and re-enrollment sequences — on schedule, with consent and opt-out, stopped the moment a person should call.
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Callbacks & MeetingsMember callbacks, broker appointments and employer open-enrollment meetings booked in the conversation — right account executive, right time zone, calendars synced.
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Member-Services TrainingMember-services and provider-services representatives trained on your verification rules, plan documents and scripts — new hires on the line in days.
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Member RequestsID-card, address and PCP changes, claim inquiries, appeal and grievance intake filed as tracked cases with the deadline noted — routed to the right team, decided by a person.
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Volume & Renewal RiskCall volume by season, renewal risk per group and quote conversion per broker from real conversations — always with the WHY.
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Groups & BrokersEmployer groups, broker agencies and provider organizations mapped as organizations — who calls, who renews, which group or broker is going quiet before the renewal.
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Add AI to what you haveConnect the core administration, claims and eligibility systems you already run — the AI answers, reads back status where you authorize it, and writes the request back.
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ProtectionDaily caps on every AI resource: a script hammering your quote form during open enrollment costs a capped, known amount — members see courtesy.
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What happens to every inquiry — in your health plan
A member at 7:30 AM about a bill, a provider office between appointments, a broker with a census, an HR administrator adding a new hire — on the member line, the provider line, chat, email or a form. Day or night, in any of 40 languages.
Caller verified by your rules first. Then ID-card status, in-network providers, plan-document answers, hours, where to submit a claim, timely-filing rules — from your approved information only. No source, no claim.
Member, dependent, provider, broker or group; which employer (for a TPA); which plan; which team — member services, claims, appeals and grievances, provider relations, group sales, billing — your routing rules applied in the conversation. Determinations and medical questions go to a person.
File the ID-card or address request, read back the claim or prior-authorization status your system returns, build the small-group quote, book the callback or enrollment meeting, transfer the appeal to your team with the context whispered in, call back the abandoned caller.
The census still missing two fields, the enrollment form without a signature, the renewal proposal unopened, the welcome sequence for the new member, the ID-card-shipped notice — on schedule, until done, stopped the moment a person replies.
Every touch on the member’s, provider’s or broker’s front-office record, transcript included. Every morning a briefing: what was handled overnight, who needs a representative today.
AI-driven end to end. A person wherever your rules require it. Any coverage determination, any appeal or grievance decision, any dispute and anything medical waits for your people; the routine, the AI handles, files and reports.
One knowledge base feeds every channel
Websites, uploads, pages and articles, Q&A, battle cards, images and videos — you approve it once, and phone, chat, email, demos and quotes all answer from the same verified source. No source, no claim.
40 languages, one bill, a help drawer over every screen
Languages and website translation, billing with plans, top-ups and alerts, onboarding, users & security, and the help drawer that answers from the platform manual — the plumbing that comes with it.
Private by architecture
Your Front Office runs in a private Cloudflare environment dedicated to your company — your own data-processing container, not a shared pool. Your knowledge stays yours: it never trains global models like GPT or Grok, and it is never shared.
- Private data-processing environment per company
- Grounded only in your knowledge
- Claim guard: no source, no claim
- Private environment option: an isolated environment with enterprise-grade security certifications, on request
Auto-Call — the AI calls your members
Not only answering. From an automated event (a due date, a ready order, tomorrow’s appointment), a scheduled funnel or a list, the AI calls your registered contacts and announces your message — or talks as an agent: answers the question, moves the appointment, confirms, collects the missing detail. Call window, attempts, voicemail policy and consent rules are yours; every call is transcribed.
- “Hi Diane, this is Summit Health Plan: your ID card has been mailed and your coverage starts on the 1st.”
- “Hi Omar, this is Summit Health Plan: open enrollment closes Friday. Would you like to confirm your current plan or schedule a call with an advisor?”
Scheduled Auto-Call comes inside a solution — see pricing; calling back the hang-ups is part of AI Phone. How it works, in the Phone chapter ›
The same Front Office, by job
The jobs a health plan names most often — each explained in full: what falls through the cracks today, a day with the AI on the job, every function seen from that job.
Questions, answered
Does the AI decide what is covered or give medical advice?
No. It answers only from the information your plan approves — plan documents and benefit summaries, provider directory data, the provider manual, policies, hours — and, where you authorize it through Connectors, reads back the status your systems return. It does not determine whether a service will be covered, does not decide an appeal or a grievance, does not judge medical necessity and does not assess symptoms: those conversations are transferred to your claims, appeals or nurse-line team with the transcript attached. No source, no claim.
What happens to member information?
Callers are verified by your own rules before any member-specific information is given; unverified callers receive general information only. Your Front Office runs on a private data-processing environment dedicated to your plan; member information never trains public models and is never shared. Plans whose compliance program requires an isolated environment with specific certifications ask for a private environment — available on request.
Does it replace our core administration or claims system?
No. It sits in front of them: the AI answers, verifies, files and follows up, then writes the request back through Connectors — webhooks, API and native calendar sync — and reads status from your systems only where you authorize it. Eligibility, claims and enrollment stay in your systems of record; the queue stops forming at the member-services center.
Try it free on your own health plan. 7 days. No credit card.
Give it your website. It learns your company. Then call it, chat with it, e-mail it — and decide. Nothing to install, nothing to cancel.
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