AI Voice Agents for ACA Health Outbound Campaigns
On ACA campaigns the fronter layer has one job: ask the client-defined qualification questions the same way every time and hand qualified conversations to a human. iGents do exactly that, and nothing that resembles enrolment, eligibility determination or advice.
- Client-defined qualification criteria, applied without variation
- No enrolment, eligibility determination or guidance on the call
- Every outcome dispositioned by reason, including non-connects
- Verification and enrolment conversations stay with your human team
3–5 day trial · No credit card · ~15-minute deployment
Scope on this campaign
- iGents handle
- Approved opener, client-defined screening questions, configured objection responses, disposition, transfer trigger.
- Your human team handles
- Eligibility discussion, plan guidance, enrolment and anything that requires a person on your team.
Scope
The fronter layer stops at qualification
ACA buyers reject transfers for a narrow set of reasons, and most of them trace back to a screening question that was skipped, reordered or asked loosely. That is a consistency problem, not a talent problem, and it is what the automated fronter layer removes.
iGents ask what your client specified, in the order specified, and record the answers. They do not interpret an answer, confirm eligibility, or describe what a prospect may or may not receive. Those conversations begin after the live transfer, with your human team.
Qualification
How an ACA screening pass is structured
The specific fields belong to your client. The structure below is how iGents apply whatever that set contains.
Client-defined field set
Only the questions your client supplies, in their order, with no additions invented on the call.
- No improvised questions
- Answers captured per field
Hard and soft gates
Which criteria end the call and which are recorded and passed on is a configuration decision your ops team makes.
- Hard gate ends the call cleanly
- Soft gate recorded for the verifier
Out-of-scope routing
Any request for advice or plan detail is routed or dispositioned, never answered by the fronter layer.
- No guidance generated
- Routing path configured by you
Objections
Objection handling without drifting into advice
The hardest ACA objections are questions the fronter layer must not answer. Configured responses acknowledge the question, state what the next step is in your approved wording, and either transfer or disposition. Nothing is improvised to keep a call alive.
- Plan and cost questions routed to the human team, not answered
- Timing objections recorded as callback intent
- Identification questions answered with your approved wording
- Unresolved objections categorised for script revision
Reporting
Every outcome dispositioned
Outcome codes are aligned to what your buyer reports on. The structure below is illustrative; final codes mirror your existing configuration.
| Outcome | What it tells your ops team |
|---|---|
| Transferred | Client criteria met; prospect handed live to your human verifier |
| Qualified — callback | Criteria met, timing blocked the transfer |
| DNQ — criteria | A client-defined criterion was not met; reason recorded |
| Out of scope — routed | Prospect asked for guidance outside the fronter layer |
| Objection — unresolved | Categorised for revision of the approved response library |
| No contact | Voicemail, no answer or invalid number |
FAQ
ACA / Health campaign questions
Do iGents enrol anyone or determine eligibility?
No. iGents ask the client-defined qualification questions and record the answers. Eligibility determination, plan guidance and enrolment sit with your human team after the transfer.
Can iGents answer questions about coverage?
No. Coverage questions are routed to your human team or dispositioned. The fronter layer never generates plan or benefit statements.
Who supplies the script?
Your client and your compliance owner. iGents apply the approved wording; they do not write it.
Can criteria differ per buyer on the same vertical?
Yes. Separate configurations can run per buyer where the qualification requirements differ.
Put the ACA fronter layer on iGents
WhatsApp the team to scope the campaign, or send your client's criteria through the trial form.
WhatsApp consultation for a direct scoping conversation, or send campaign details through the trial form.