Why should you use this Playbook?

Unclear claim updates lead to confusion and mistrust. This Playbook provides real-time visibility into claim status, building transparency and confidence in your service.

When should you use this Playbook?

When members reach out asking about pending, approved, or denied claims.

What does this Playbook do?

• Authenticates the member
• Retrieves claim details from backend systems
• Provides claim status and payment info
• Offers next steps for denied or pending claims