A virtual teammate for every task.

Opyn’s AI agents are trained on your data, documents, and processes — ready to handle the high-friction tasks that slow teams down. Start with one. Scale everywhere.

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Featured Use Case: Provider Interaction Agent

Instant answers for providers. Real savings for your team.

Your Provider Interaction Agent handles the top provider questions—eligibility and benefits, claims, and prior auth intake—instantly via voice or chat. No portal logins. No wait times. Just 24/7 answers that reduce call volume—saving $1 per call—and free up your team.

Common AI agent workflows include:

Coordination of Benefits

Automate outbound voice calls to collect and verify additional coverage details, reducing manual follow-ups and accelerating accurate claims processing.

Accident Claim Coordination

Trigger AI-driven outbound calls to gather required accident details from members and automatically route structured data into your claims workflow.

Prior Authorization

Give providers and members real-time prior authorization status through AI-assisted checks—cutting call volume and easing administrative strain.

Member Benefit Navigation

Extend AI-guided benefit support beyond the app with voice and SMS, meeting members where they are with consistent, plan-aware guidance.

For Support Teams

Automate the routine. Elevate the service.

Opyn automates time-consuming processes, so your team can focus on the moments that matter.

Reduce call center volume and increase first-contact resolution
Monitor and record all conversations, and call logs for audit ready compliance
Trigger escalations to UM teams only when needed
Mirror workflows across chat, voice, and portal—one record, no repetition
Tracking for record keeping and audit support

For Providers

Faster access to the answers they need

Give providers a self-service front door for common requests —without tying up your staff.

24/7 voice and chat support for eligibility and claims
Seamless submission and status tracking
Fewer inbound calls to your service team
Real-time data access with fewer delays or errors

For Members

No more hold music

Members are tired of phone trees and endless wait times. Opyn gives them instant AI assistance for benefit navigation through natural language voice and chat — no menus, no confusion, just real support when they need it.

AI agents trained on plans, documents, and benefits
Speak in your language—Opyn answers in yours
Faster issue resolution and less frustration
Optional escalation to live help when needed
Tech support agent available for account or login help

Works with the systems you already use.

Opyn’s AI agents integrate directly into your existing engagement platforms and workflows—no replacement, rebuild or migration required. Use the agents on their own or connect them into the full Opyn platform whenever you're ready.