AI now handles queries from ARS Primera members

Artificial intelligence stopped being a lab thing in the Dominican health sector: Pili, ARS Primera digital platform, uses AI to serve its members, who can make inquiries and manage services without setting foot in an office.

What Pili does

Pili lets members make inquiries and manage services digitally: questions about coverage, authorizations and administrative procedures that previously required calls or lines. The platform responds with the help of artificial intelligence, and when the case requires it, the conversation is handed to a human team.

What the member gains

The most visible benefit is time: fewer call waits and fewer trips to offices. Answers to frequent questions are immediate and available outside office hours, something that relieves both the member and service centers.

The practical takeaway

Artificial intelligence streamlines the administrative side of health, but the medical decision remains with specialists. For members, the recommendation is to use their health insurer’s official platform: procedures are recorded and access to information is protected.