Your HealthCare Cost Sharing Assistant

Instant Expert Guidance

Alice is powered by advanced AI technology (AWS Bedrock with Claude models) and has been trained on comprehensive healthcare reimbursement knowledge. She can instantly help you with:

• CHM Policies & Guidelines: Complete understanding of program rules, eligibility requirements, and submission guidelines
• Documentation Requirements: Exactly what forms, receipts, and documents you need for successful reimbursement
• Submission Processes: Step-by-step guidance through the entire reimbursement workflow
• Common Issues: Solutions to frequently encountered problems and how to avoid them

How It Works:

1. Ask Any Question: Type or speak your question in natural language
2. Instant Response: Alice searches her knowledge base and provides accurate, detailed answers
3. Follow-up Support: Ask clarifying questions - Alice maintains conversation context
4. 24/7 Availability: Get help whenever you need it, day or night

Example Questions Alice Can Answer:

• “What documentation do I need for an ER visit?”
• “How long does CHM reimbursement typically take?”
• “What’s the difference between Gold and Silver sharing levels?”
• “Can I submit bills from last year?”
• “How do I handle pre-existing conditions?”

Alice accesses your complete reimbursement history to provide personalized, context-aware assistance.

Automated Provider Outreach

Alice acts as your personal advocate when communicating with healthcare providers. She professionally handles the time-consuming task of requesting itemized bills.

• Professional Emails: Alice composes and sends professionally written emails to your providers
• Itemized Bill Requests: Automatically requests detailed billing statements required for reimbursement
• Missing Documentation: Identifies and requests any missing paperwork
• Follow-up Management: Tracks responses and follows up if providers don’t respond within 7 days
• AI-Powered Calls: Alice can make actual phone calls to billing departments and provide transcripts

Security & Privacy:

• Only contacts providers you’ve explicitly authorized
• While conversing with a provider, Alice has no access to any of your other expenses with other providers
• Creates audit trail of all provider interactions

Alice proactively follows up with your reimbursement tasks to ensure you get what you need.

• Submission Deadlines: Alerts before CHM filing deadlines approach to ensure you have all your needed paperwork
• Provider Non-Response: Notifies you when providers fail to respond to itemized bill requests in a timely manner
• Task Completion: Reminds you of other potential reimbursements you may have missed

Never worry about forgetting important reimbursement tasks again!

Alice doesn’t just answer questions - she actively manages and completes tasks for you throughout the reimbursement process.

• Create Incidents: Automatically creates healthcare event records (ER visits, surgeries)

• Add Expenses: Records medical bills with provider and amount information

• Link Documents: Associates uploaded receipts with correct Expenses

• Receipt Import: Processes uploaded medical bills and receipts. Reads patient names, dates, amounts from documents

• Automatic Enrichment: Populates expense details from scanned documents

• Attachment Tracking: Links all documents to appropriate Records

Alice is programmed to always prioritize your interests as a CHM member. She acts as your representative in all provider communications.

Member-First Approach:

• “When goals conflict, choose to help the member” - Alice’s core directive
• Represents your interests professionally but firmly
• Ensures providers understand documentation requirements
• Persists until you receive what you need for reimbursement

Your Protection:

• Only shares information necessary for billing purposes
• Never discusses sensitive medical details
• Maintains HIPAA compliance in all communications
• You can review all correspondence sent on your behalf