This isn't a slide deck. It's a working AI agent that handles appointment scheduling, prescription management, billing inquiries, benefits questions, and account management for Kaiser Permanente members.
Ask it anything about scheduling appointments, refilling prescriptions, understanding your bill, checking your benefits, or managing your account. It has real knowledge, real workflows, and real guardrails.
Built around real member scenarios that Kaiser Permanente's support team handles every day.
Guides members through booking, rescheduling, and canceling appointments. Explains video visits, e-visits, phone appointments, and same-day availability.
Walks members through refills, mail-order pharmacy setup, auto-refill enrollment, formulary checks, and copay tier explanations.
Explains bills, EOBs, copays, deductibles, and payment options. Helps with payment plans, FSA/HSA usage, and charge disputes.
Answers coverage questions, explains plan benefits, helps with dependent additions, travel coverage, and mental health service access.
Handles ID card replacements, PCP changes, address updates, kp.org password resets, and proxy access setup for caregivers.
Built-in safety: never provides medical advice, detects emergencies (directs to 911), and protects member PHI with HIPAA-aware guardrails.
This demo was built from scratch for Kaiser Permanente. Real logic for real scenarios.
Loaded Kaiser Permanente's member services content, plan details, pharmacy processes, and billing procedures into the knowledge base.
Created member-specific workflows for appointments, prescriptions, billing, benefits, and account management with intelligent routing.
Configured healthcare-specific guardrails: medical advice prevention, PHI protection, and emergency detection with 911 routing.
Ran 250 simulated member conversations across happy paths, edge cases, and adversarial scenarios at ~83% pass rate.
Connected to your actual member data. Handling your real support volume. This sandbox is just the start.
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