The phone is the front door to your health plan
Vocalis answers it with an agent that knows your plans, resolves the routine, and hands the rest to your staff with the whole story already in hand.
Hi, I'm calling about a claim from my visit last month.
Happy to check. I have your record open. Is this about claim 4821, dated the fourteenth?
Grounded in Claims · Meridian PPOYes, that one. It still says pending on the portal.
It cleared Tuesday. Your share is $42.60, and the explanation of benefits mails this week.
That is a relief. While I have you, does the MRI my doctor ordered need approval?
Advanced imaging does need prior authorization on this plan. Review takes three business days.
Grounded in Meridian PPO 2026 · §4.3Can someone call me once it goes through?
Booked. Our care team will reach you Thursday at two on this number.
Promise recorded · callback Thu 2:00 PM“I need to know if the MRI needs prior authorization.”
Prior auth required for advanced imaging on this plan. Turnaround is 3 business days.
Slots into the contact center you already run
Build the agent,
hear it, ship it
Five steps from empty to live: pick the engine, pick the voice, name the fields it collects, connect the tools it can call, write the prompt. Then talk to it in the browser before a member ever does.
- Engine
- Voice
- Fields
- Tools
- Prompt
You are the benefits line for {{plan_name}}.
Greet {{member_first_name}} by name. Answer only from the plan documents.
If the member asks about an open claim, call lookup_claim before answering.
Never quote a dollar amount you did not read from the record.
Every model worth running, on your keys
Run our managed speech-native engine, or assemble your own: transcription, reasoning and speech chosen stage by stage, each with its speed and cost in front of you. Swap a model without rewriting an agent.
Our speech-native stack, managed end to end.
Assemble your own transcription, language and speech models.
A third-party realtime model, with its own built-in voice.
Fast and cheap enough to answer mid-sentence.
The strongest reasoning in the catalogue.
Lowest latency to first token.
Small, quick, and careful with instructions.
Twenty-seven models across four stages. Language coverage is checked before you can pick one, so a call never fails as dead air.
Design the whole
line, not one bot
Greeters, specialists, schedulers and handoffs on one canvas. Keep a phone menu if your members expect one, and let any branch end in an agent or a person.
Advanced imaging needs prior authorization. Standard review is three business days.
Calls you place, calls they make, chat in between
One platform, one set of knowledge, every way a member gets in touch.
Outbound campaigns
Pick the list and the objective, set the calling window, and let agents dial at scale.
"agent": "benefits-v7",
"to": "+15550142200"
}
Inbound and API
Answer on your own numbers, or let your systems start a call with one request.
Help desk chat
The same agents in writing, answering from the same knowledge, on your site.
Your people,
already caught up
A full call center for human staff: live queue, dial pad, dispositions, escalations. When a call needs a person, they inherit the claim, the history and what was promised, so the member never starts over.
- Claim 4821 denied, code CO-197.
- Agent confirmed the appeal window is open.
- Promised a specialist would explain the code.
Every call analyzed, not a sample of them
Findings land the moment a call ends, each one linked to the exact second in the audio. Then ask the whole record a question in plain language and watch the answer build.
“I’ve booked a callback with our appeals team for Thursday at two.”
A member should never have to explain the same claim twice.
Warm transfer carries the whole call
You find the problem before the member calls back about it.
Analysis on 100% of calls
Private by design, because every call carries PHI
Compliance is evaluated during the conversation, not summarised after it. Sensitive moments are flagged as they happen and the call is steered before it becomes an incident.
End to end, with BAAs available on request.
On every call, recording and transcript.
Checked before the dial, not reported after.
Roles, oversight and a record of every change.
Built for teams whose calls carry consequences
Payers and health plans
Claims, enrollment and renewals answered from your own plan documents.
Hospitals and health systems
Appointment lines and care follow-ups, with safety detection on every call.
Member services
Tickets that arrive with context, and a person on the line when one is needed.
Workspaces and roles · versioned agents · knowledge bases · OpenAPI tool import · embeddable help desks · webhooks
Make the front door intelligent
Start with one number and one agent. Grow into a call center that answers from your plans and never forgets a promise.