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Benefit answers grounded inthe actual plan.
Benefits Guide provides cited answers from approved plan documents, makes uncertainty explicit instead of guessing, and keeps a visible human escalation path for the questions that matter most.
- Grounding
- Approved plan documents only
- Control
- Human authority, always visible
- Evidence
- Every answer cited to its source
How it works
Follow one questionthrough the system.
Benefits navigation fails when systems guess. Benefits Guide is built so it never has to.
- 01
Ground the corpus
Approved plan documents — summaries, schedules, coverage tables — become the only source Benefits Guide is allowed to answer from. Nothing outside that boundary reaches a member, ever.
- 02
Answer with the citation
A member asks a real question in plain language. Benefits Guide retrieves the relevant passage, answers from it, and shows the exact text behind the answer — so members and reviewers can verify, not just trust.
- 03
Say so when unsure
When the documents are ambiguous or silent, the system says so explicitly instead of improvising. Uncertainty is surfaced as a first-class outcome, never papered over with a confident-sounding guess.
- 04
Escalate to a person
Consequential, clinical-adjacent or unresolved questions route to a named human — visibly, inside the same conversation. The member always knows when a person has taken over, and why.
What it does
Grounded answers,honest boundaries.
Built with the same evaluation and governance discipline as our enterprise AI work: sourced answers, explicit limits, humans in authority.
- 01
Plan-grounded retrieval
Answer only from approved plan documents — never from the model's imagination.
- 02
Citation by default
Show the exact passage behind every answer so members and reviewers can verify.
- 03
Boundary-aware design
Keep benefits navigation clearly separate from clinical or legal decisions.
- 04
Human handoff
Escalate consequential or uncertain questions to a person, visibly.
Connected offerings
One health journey.This is the answering arc.
Benefits Guide came out of real healthcare delivery — the services around it supply the data, governance and context it depends on.
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