Health Payers
46% member-services deflection for a Medicare Advantage payer — CMS-safe agentic AI
A regional Medicare Advantage payer was buckling under AEP call volume for benefits, PCP changes, ID cards and prior-auth status. pronix.ai deployed Salesforce Agentforce on Health Cloud with Amazon Connect voice and CMS-safe guardrails — 46% deflection and CSAT flat through AEP.
- Deflection on top-5 intents
- 46%Deflection on top-5 intents
- Abandon rate through AEP
- -11ptAbandon rate through AEP
- Member CSAT
- +0.2ptMember CSAT