Health insurance · London, United Kingdom · Operations

A covered clinic near home within the hour

Freya leads member services at a health insurer in London.

Listen to the story:

The challenge

Members email when their doctor sends them to physio: which clinic can I use? Her team looks up each policy, searches for clinics, checks the network. Each answer takes two days, and some members pay privately and claim later, at twice the cost.

How the flow works

With xMap Flows, Freya built Triage. Triage is an AI employee: a flow of 7 blocks.

  1. When a member's email arrives,

    A member asks (Microsoft Outlook event)

  2. Triage reads what treatment they need,

    What they need (xMap LLM)

  3. looks up their policy and where they live,

    Their policy and home (Match with my table)

  4. finds physiotherapy clinics near their home,

    Clinics near home (Nearby places)

  5. keeps the ones in the network,

    In the network (Match with my table)

  6. picks the three nearest,

    The three nearest (Sort and limit)

  7. and replies within the hour.

    The answer, same hour (Microsoft Outlook)

What it solves

The result

Yesterday, two hundred and forty members asked. Every one had three covered clinics near home within the hour, most a short walk away. Private bills fell by a third, and her team now spends its time on the hard cases.

Freya's members used to wait for an answer. Now they wait for their appointment.

1 hto answer, down from 2 days
240members answered yesterday
-33%private bills

An illustrative scenario: the figures are modelled to show what the flow produces, not a customer's results.

The flow, block by block

  1. 1

    A member asks

    Microsoft Outlook event · Outlook event

    Starts the flow when something happens in Microsoft Outlook: a new record, a message, a change.

  2. 2

    What they need

    xMap LLM

    Tell the AI what to do in plain words.

  3. 3

    Their policy and home

    Match with my table

    Looks each incoming item up in one of your tables or saved lists (My data), for example your customers.

  4. 4

    Clinics near home

    Nearby places

    Places around a point from xMap’s own places database (300M+ places, refreshed every month): pick the types of place (more than 5,000, such as Restaurant, Cafe, Pharmacy, Hospital or Gas station, or a whole group of them) and how far to look.

  5. 5

    In the network

    Match with my table

    Looks each incoming item up in one of your tables or saved lists (My data), for example your customers.

  6. 6

    The three nearest

    Sort and limit

    Puts the items in order, and can keep only the first ones: the 10 best rated, the 20 nearest, the highest fit scores.

  7. 7

    The answer, same hour

    Microsoft Outlook · Outlook

    Runs an action in Microsoft Outlook.

Templates to build it

Ready-made flows with the same blocks. Open one, change the city and the kind of place, and run it.

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