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Enterprise Layer Intelligence
Categories/Healthcare & Life Sciences/Sensentia
Sensentia

Sensentia

Founded 2011

Calculate health insurance benefits and match member plans

You can use Sensentia to calculate exact health insurance benefits and match members with the right coverage plans. The system reads plan documents directly to answer complex questions about deductibles, co-pays, and covered procedures without guesswork. Customer service agents use it to look up benefits instantly during live calls, while insurance sales brokers use it to conduct enrollee intake interviews. It also offers white-labeled portals and APIs that integrate directly into existing customer relationship management systems to give members direct access to coverage details.

What Sensentia does

Answer health insurance benefit questions during customer callsMatch prospects to Medicare plans based on medical dataConduct guided prospect intake interviews for insurance salesCalculate out-of-pocket costs and deductibles for healthcare proceduresLook up coverage terms across Evidence of Coverage documentsProvide benefit calculation data to external CRM systemsDeterministic benefit calculation engine based on policy documentsGuided intake interview workflow for insurance sales agentsMedicare plan comparison based on medical historyTurnkey white-labeled portals for members and brokersREST APIs for enterprise CRM and portal integrationAudit-ready logs for every coverage determination

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Sensentia, health insurance, benefit calculations, Medicare plan comparison, ServiceSense, SalesSense, AdvisorEdge, health plan matching, insurance call center, member services, insurance brokers, plan coverage lookup