AI for South African Medical Aid Schemes.
Cut call centre volume by 35–50%, automate pre-authorisations, and retain more members. Without adding headcount.
Registered medical schemes in South Africa
Annual claims processed by SA medical schemes
Of member calls are about benefit confusion — handled instantly by SchemeIQ
Reduction in call centre volume after SchemeIQ deployment
South African medical schemes operate under constant pressure: member expectations are rising, claim volumes are growing, and call centres are at capacity. The majority of member queries — benefit balances, pre-auth status, network provider lookups — do not require human intervention.
SchemeIQ handles those queries autonomously, via WhatsApp, in plain language, in all 11 SA official languages — freeing your clinical and administrative staff for work that actually requires their expertise.
The AI operations platform built for South African medical aid schemes.
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