Maven AGI for Healthcare
Maven helps patients navigate claims, book appointments, and resolve billing questions across chat, voice, email, and messaging while equipping healthcare teams with the context and intelligence required to manage eligibility and scheduling workflows efficiently.
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Why Healthcare Leaders Choose Maven AGI
Use Cases for Healthcare Teams
A member journey starts before anyone is a member, with someone asking whether they qualify, and it runs through enrollment, activation, and every question after that. Maven deploys a purpose-built agent at every stage, clarifying requirements and completing governed actions inside the systems you already run.
Awareness & Engagement
Open enrollment brings a wave of people who aren't members yet, asking whether they qualify and what a plan costs. Awareness & Engagement answers them on the spot, from approved plan content, and captures the ones ready to enroll.
- Answer eligibility, coverage, and cost questions before someone is in your system
- Handle the reply volume from enrollment campaigns across chat, voice, email, and SMS
- Capture contact details and intent in the conversation instead of behind a form
Onboarding & Adoption
The Onboarding & Adoption Agent closes the gap between enrollment and actually using the benefit, walking new members through portal setup, intake, and first appointment one step at a time.
- Guide members through portal registration and account setup
- Walk patients through intake forms and required documentation
- Surface what a new plan covers and how to use it in the first year
Support Agent
The Support Agent handles the volume: eligibility and benefits questions, billing statements, appointment scheduling, and portal navigation, completing the action in your systems rather than describing it.
- Interpret coverage, benefits, and plan requirements across programs
- Explain statements and charges, and move payment and account steps forward
- Schedule, reschedule, and confirm appointments with intake requirements attached
Agent Copilot
Agent Copilot works beside care navigators, member services, and billing specialists in the console they already use, assembling the case from every system and surfacing the policy that applies before the call starts.
- Assemble member, claim, and encounter history into one view
- Surface the governing plan or policy rule mid-conversation
- Draft responses and structured documentation for human review
Healthcare Integrations
Training our old chatbot to respond to different support scenarios took hundreds of hours. Maven learned the answers from the moment it integrated with our systems.
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Anthony Skilton
Operations and Systems Manager
Maven’s ability to give our customers highly curated answers 24/7 is absolutely huge for us. Now, they get better, faster support, and our team has time back for high-touch tickets.
Tara Clark
Senior Client Support Manager
Customer support is often a tradeoff between quality, speed, and cost. But with Maven, we don’t have to compromise. We can give our customers the very best support while keeping our team lean.
Jeff Ho
VP of Operations
Just one week into the trial, rep solves per hour increased 25%. With increased efficiency on reactive operational support, we can invest more heavily in the proactive retention dollar activities.
David Doyle
Head of Customer Support
I initially thought the main benefit would be efficiency—fewer associates, faster ticket resolution. And while that happened, the overall impact was much bigger. The quality of our tickets improved significantly.
Stas Johnson-Chyzhykov
SVP, Customer Experience
Maven AGI autonomously handles 90% of incoming queries allowing our support agents to focus on strategic initiatives, enhancing operational efficiency and customer satisfaction.
Rahul Todkar
Head of Data and AI
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