TPA WellNet Healthcare selects EHVAhealth voice AI to automate health plan provider calls
Third-party administrator deploys conversational AI agents for eligibility verification, benefits verification, and claims status inquiries across medical, dental, and vision plans, integrated with its Five9 contact center and Salesforce CRM.
Provider calls answered end to end, inside the tools WellNet already runs.
Plan types
Call types automated
Availability
Systems integrated
Dorado, Puerto Rico and Trevose, Pennsylvania, October 9, 2026 – EHVAhealth, the health payer platform of EHVA.ai, today announced that WellNet Healthcare, a third-party administrator (TPA), has selected EHVAhealth’s conversational voice AI to automate its inbound provider calls. EHVAhealth is purpose-built for health plans, TPAs, payers, and benefit administrators that need to answer high volumes of provider calls without adding headcount.
Provider call automation for TPAs, health plans, and payers
Provider calls are one of the largest recurring costs in health plan administration. Provider services teams at TPAs and payers field thousands of repetitive calls every month about member eligibility, benefits, deductibles, and claims status, and every minute a provider spends on hold slows down patient care and revenue cycle work. Voice AI for health insurance lets self-funded health plans and their administrators answer those calls instantly, around the clock, with the same accuracy as a trained representative.
AI eligibility verification, benefits verification, and claims status inside Five9 and Salesforce
Under the agreement, EHVAhealth’s AI agents will handle WellNet’s inbound provider calls end to end across medical, dental, and vision plans, including member eligibility verification, benefits verification, deductible and out-of-pocket accumulator balances, and claims status inquiries. The deployment runs alongside WellNet’s existing Five9 contact center and Salesforce CRM. When a provider needs a person, calls hand off to WellNet’s live agents with the context of the conversation, and call activity is logged back to Salesforce, so the TPA keeps a complete record of every provider interaction.
The result: providers get accurate eligibility, benefits, and claims answers on the first call, any time they call, and WellNet’s provider services team spends its time on the member and client work that needs a human. Because EHVAhealth works inside the contact center and CRM a health plan already runs, TPAs and payers can automate provider calls in weeks rather than replacing their call center technology.
One provider call, start to finish.
A provider calls
The call reaches WellNet’s Five9 contact center and EHVAhealth answers right away, day or night.
EHVAhealth answers
Eligibility, benefits, deductible and out-of-pocket balances, and claims status, for medical, dental, and vision plans.
Handoff with context
When a provider needs a person, the call goes to a WellNet live agent with the conversation so far.
Logged to Salesforce
Every call is written back to Salesforce, so WellNet keeps a complete record of each provider interaction.
The provider calls that fill a queue, answered on the first try.
Eligibility verification
Confirms a member’s active coverage before the provider sees the patient.
Benefits verification
Coverage, copays, and coinsurance for the member’s actual plan.
Accumulator balances
Deductible and out-of-pocket amounts met to date.
Claims status
Where a claim stands and what was paid, without a callback.
Medical, dental, and vision
One line covers every plan type WellNet administers.
Warm handoffs
Live agents get the caller with the conversation’s context, so nobody starts over.
“At WellNet, providers and members come first, and that means answering provider questions quickly and accurately every time. EHVAhealth fits into the Five9 and Salesforce tools our team already uses, so we can deliver faster service on eligibility, benefits, and claims without disrupting how we work.”
“WellNet’s team moved fast because they saw how quickly this could work inside the systems they already run. Plugging into an existing contact center instead of replacing it is how we get TPAs live in weeks, not quarters, and we’re proud to have WellNet on board heading into SIIA.”
EHVAhealth and WellNet Healthcare
About EHVAhealth
EHVAhealth is the health payer platform of EHVA.ai, a conversational voice AI company built for health plans, third-party administrators (TPAs), payers, and benefit administrators. EHVAhealth’s AI agents automate inbound provider calls, including eligibility verification, benefits verification, accumulator lookups, claims status inquiries, and prior authorization status checks, and integrate with the contact center and CRM platforms health plans already use. EHVA runs on its own telecom infrastructure, giving TPAs and payers full control over call quality, reliability, and HIPAA-compliant security.
Learn more at EHVAhealth.com or call 833-419-2313 to speak with our AI.
About WellNet Healthcare
Founded in 1994, WellNet Healthcare is a third-party administrator (TPA) dedicated to helping employers take control of their healthcare costs while delivering an exceptional member experience.
WellNet differentiates itself through a high-touch, personalized approach to customer service, innovative cost-containment strategies, and customized health plan solutions. By combining proactive claims management, healthcare cost transparency, advanced data analytics, and dedicated concierge support, WellNet empowers employers to reduce healthcare spending without compromising the quality of care.
With a commitment to service excellence, accountability, and measurable results, WellNet serves as a trusted partner to employers seeking greater control, improved plan performance, and long-term healthcare savings.
Media contact: EHVAhealth
Media contact: WellNet Healthcare
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Read the announcementRunning Five9 or Salesforce? You can be live in weeks.
EHVAhealth plugs into the contact center and CRM you already run. Pricing starts at 50¢ per call.