The Role of Human Fallback:
When AI Meets Its Limits:
In cases where our AI system encounters complexities or ambiguities that it cannot resolve, such as unclear responses from a PBM or unusual case scenarios, our Human Fallback mechanism is triggered.Skilled Human Intervention:
Our team of trained professionals steps in to take over the process. They handle the necessary calls and interactions with PBMs to clarify and verify the required information.Seamless Transition:
The transition from AI to human intervention is smooth and seamless. Our system is designed to provide our team with all the relevant context and information gathered by the AI up to that point, ensuring no loss of data or time.The Benefits of Human Fallback:
- Reliability: While AI provides efficiency, the addition of human oversight ensures that the verification process is reliable and thorough.
- Flexibility: Human intervention allows for the handling of unique or complex cases that might be beyond the scope of pre-programmed AI responses.
- Quality Assurance: With humans in the loop, we can guarantee a higher level of accuracy and attention to detail, crucial in the healthcare industry.