MEDICAID RECERTIFICATION SOLUTION
AI AGENT

Real-time Support Agent

24/7 multilingual support system providing instant assistance to beneficiaries through chat, voice, and video, resolving issues before they cause coverage gaps.

4.8/5 Satisfaction
< 30s Response
24/7 Available

LIVE SUPPORT STATUS

342

Agents Online

257 Available
68 Busy

Core Responsibilities

Instant Resolution

Provides real-time answers to coverage questions, helps with form completion, and resolves technical issues immediately.

Warm Handoffs

Seamlessly transfers complex cases to human specialists while maintaining full context and conversation history.

Empathetic Support

AI trained on thousands of successful interactions to provide compassionate, culturally sensitive assistance.

Support Channels

Live Chat

Most popular channel

  • AI-powered instant responses
  • Screen sharing for form help
  • File upload support
  • Conversation history saved
  • Available in 50+ languages

Voice Support

For complex issues

  • Natural language understanding
  • Emotion detection for escalation
  • Call-back scheduling
  • Interpreter services
  • Voice biometric authentication

Video Assistance

For document help

  • Document scanning assistance
  • Form completion guidance
  • Sign language support
  • Screen annotation tools
  • Recording for reference

Multilingual Support

Breaking language barriers

  • 50+ languages supported
  • Cultural context awareness
  • Medical terminology translation
  • Dialect recognition
  • Written & spoken fluency

Intelligent Support Process

Instant Connection

Patient connects via preferred channel, AI authenticates identity and pulls up complete history in under 3 seconds.

Context Understanding

AI analyzes request, current coverage status, and past interactions to provide personalized assistance.

Resolution Attempt

Provides step-by-step guidance, answers questions, helps complete tasks, or schedules appointments as needed.

Smart Escalation

If AI can't resolve, warm transfers to human specialist with full context, saving patient from repeating information.

Follow-up Care

Schedules check-ins, sends helpful resources, and ensures issue was fully resolved to patient satisfaction.

Real-time Performance Dashboard

First Response

< 30s

+15%

Resolution Rate

94%

+8%

CSAT Score

4.8/5

+0.3

Escalation Rate

6%

-12%

Recent Support Interactions

MR

Maria R.

Help uploading pay stub

resolved
chat

2 min ago

JS

John S.

Coverage verification

resolved
phone

5 min ago

LW

Li W.

Language assistance needed

escalated
video

8 min ago

SJ

Sarah J.

Renewal form questions

resolved
chat

12 min ago

System Integrations

Zendesk

Intercom

Salesforce Service Cloud

Twilio Flex

Amazon Connect

Genesys Cloud

Microsoft Teams

Slack

AI-Powered Medicaid Enrollment & Healthcare Access | HeyMedicaid