Autonomous
Autonomous Mode
Simulated member chat. The agent answers using the SPD and tags whether it can resolve autonomously or should escalate.
Queries
0
Autonomous
0
Autonomous Rate
0%
Plan
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Member Inquiry
Ask about deductible, copays, pharmacy tiers, prior auth, etc.
Try: “What’s my specialist copay?” or “Do I need prior authorization for an MRI?”
Autonomy Rules (MVP)
If the SPD excerpts are insufficient or ambiguous, the agent should escalate with a clear reason.