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
Healthcare information is stored across insurance systems, patient portals, and records platforms. Maven reasons across all of them, interpreting, validating, and cross-referencing benefits details, billing rules, and scheduling requirements so patients, members, and staff receive accurate, policy-aligned guidance every time.
High-volume questions around eligibility, payments, appointments, and navigation can overwhelm service teams. Maven autonomously resolves up to 93 percent of these interactions while triaging more complex cases safely, reducing risk and maintaining consistent experience quality.
Healthcare organizations follow strict rules for intake, billing, scheduling, and benefits servicing. Maven enforces required steps, validates inputs before actions occur, and escalates securely when human review is needed, ensuring automation stays aligned with operational and regulatory expectations.
Maven protects sensitive information through PII redaction, governed data management and storage, and transparent audit logs, with built-in support for HIPAA attestation, SOC 2 Type II, ISO/IEC 27001:2022, and PCI DSS 4.0 Level 1, giving customer experience, operations, and compliance teams confidence in every automated workflow.
Capabilities for Healthcare Teams
Healthcare organizations manage intricate, multi-step interactions across eligibility, billing, scheduling, portal navigation, and wellness support. Maven applies unified intelligence across systems to clarify requirements, streamline handoffs, and complete governed actions that keep patient and member journeys moving.

Eligibility and Benefits Assistance
Maven interprets plan details and coverage rules, helping patients and members understand what qualifies, what is required, and what happens next during benefit-related questions.
- Break down coverage and benefits information across plans and programs
- Surface requirements tied to specific plans or programs
- Organize patient and member details for follow-up workflows
Billing, Payments, and Account Support
Maven explains billing statements, identifies the steps for resolving charges or account issues, and coordinates next actions within existing customer service and operational systems.
- Translate billing information into clear, actionable guidance
- Help patients navigate payment or account steps
- Sync updates across CRM and loyalty records


Scheduling and Appointment Guidance
Maven supports loyalty workflows by providing accurate member information and processing eligible actions tied to points, benefits, or account adjustments while surfacing upgrade options and ways to keep members engaged.
- Present appointment and intake requirements clearly
- Support members through step-by-step scheduling flows
- Package details needed for operational processing
Unified Access to Multi-System Healthcare Tasks
Maven lets patients and members complete tasks that normally span multiple portals or tools by handling the required steps in one place and coordinating the necessary updates behind the scenes.
- Connect patient and member information across multiple systems
- Complete multi-step tasks without requiring patients or members to switch portals
- Flag missing items or dependencies that affect progress

Teams we serve
Maven supports the customer-facing and technical teams responsible for delivering accurate, efficient, and consistent experiences across every step of the patient and member journey.
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