Casey
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Casey AI Voice Agent

Personalized Call
Automation at Scale

Casey AI Voice Agent handles millions of health plan and TPA calls in production, resolving routine inbound and outbound calls from members and providers.

Trusted by health plans, TPAs, MCOs and PBMs

Casey for Inbound Calls

Accurately resolve intents in the payer world.

Every intent is answered only after HIPAA validation
Member intents
Coverage questions (incl. prior auth)
Explanation of benefits
Claim status
Provider search
ID card replacement
PCI-compliant payment
Provider intents
Eligibility verification — medical, dental, RX and vision
Claims inquiry & status
Benefits by CPT code or NDC / J-code
Prior authorization – Intake & Status
EOB & claims faxback
PCI-compliant payment
90%
HIPAA validation
45%
Eligibility & benefits
40%
Claims inquiries
90%
Faxback
30–40%
Blended, all inbound
KEY FEATURES

Engineered for High Automation and Amazing Caller Experience

Casey is packed with all key Voice AI, Integration and vertical payer specific features to handle your inbound and outbound calls.

Integrations
PSTN / SIP integration
Transfer to a 10-digit number or a SIP URI.
CCaaS CTI integration
Five9, Genesys, NICE, and on-premise Avaya, via CTI webhooks.
Payer systems & CRM
Javelina, Trizetto and others, over API — and Casey writes back.
Payer-specific
Breadth and depth of intents
Production-tested across inbound and outbound, member and provider.
Payer-specific LLM guardrails
Required disclaimers are hard-coded and read verbatim. Benefits come from the client’s own SBC and SPD, not model memory.
Voice AI
Low latency
Average time to first token under 900 milliseconds, on streaming STT and TTS and a native telephony stack.
Expressive neural TTS
Latest streaming voices from Google, Microsoft and ElevenLabs.
Seamless switch to Spanish
A caller says “Español” at any point and Casey switches.
Universals & DTMF
Go back, wait and repeat at any point in the conversation. DTMF supported as an alternative.
Casey for Outreach calls

Reach members and providers at scale.

Casey has proven experience in automated outreach for members and providers.

OUTBOUND CAMPAIGN
2,480 contacts queued
Member outreach
Welcome & onboarding
Open enrollment & renewal
Health risk assessment
Care gap closure · HEDIS
Payment collection
Provider outreach
Credentialing
Directory accuracy
Medical record retrieval
Prior auth follow-up
HOW IT WORKS

Just Route Calls to Casey. That is the integration.

Your CCaaS
Route Calls to a 10-digit number or a SIP URI
Casey answers
Has a natural conversation and understands intent
Fetches live data
Claims and eligibility pulled over API
Resolved end to end
No human on the call
Full context transfer
Casey transfers with full context and a summary
CTI events subscribed
Call in queue, ringing and answered
Live agent answers
Screen pop delivered as they pick up
PSTN or SIP
HIPAA validated
Routine call
Needs a person
No rip and replace
Casey sits behind your CCaaS
3–4 weeks kickoff to live in production
KICKOFF
LIVE
Full Stack

What else is in the Casey suite?

Casey isn’t just one thing. The full product blends automation, assist, and analytics on every call.

Co-Pilot

When a call needs a human, Casey transfers with full context — screen pop, HIPAA status, real-time suggestions.

Explore more →

QA and Analytics

Every call is scored automatically against your QA rubric — AI and human. No more 2% sampling.

Explore more →
FAQs

Common questions about Casey.

Have more questions?
Talk to us →

How does Casey prevent the LLM from giving wrong benefits information?

How fast does Casey respond during a call?

Can Casey make outbound calls as well as answer inbound calls?

Does Casey handle Spanish-language calls?

What happens when a caller needs a live agent?

Guaranteed outcomes. Not just software.SLAs on outcomes. Outcome-based pricing. We take the risk.