AI for Medicare sales contact centers
Write the disclaimers your scripts require as plain-English checks. Hear runs them on every call, not a 2% sample, with the audio behind each flag.






Book a demo. Then run a fixed-scope pilot on a sample of your past calls, so you see the missed disclaimers before the post-AEP reviews and well ahead of AEP 2027.
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Proof, not promises
Crocus & Primrose replaced manual call sampling with Hear — full coverage, faster QA, and coaching built on every conversation instead of a lucky few.
Conversation coverage
QA time reduction
Coaching efficiency
Sound familiar?
“We staffed up for AEP. QA did not. Most of these calls will never be heard by anyone.”
Agents licensed weeks ago rush the TPMO disclaimer or slip it in after they start comparing plans, and a sample catches a few of them. Hear checks every call against the disclaimers your scripts require, so a rushed read shows up this week, not in a complaint next quarter.
“A carrier sent a complaint about an October call and asked if the disclaimer was read. I had our script, not an answer.”
Complaints and carrier reviews arrive after the season, about calls made weeks or months earlier, and someone has to find the recording and listen. When every call is already checked, you open the result and hear the exact moment, with the quote and timestamp beside it.
“CMS changed when the disclaimer has to be read. Our QA form still scores calls against last year's rule.”
Marketing guidance shifts every cycle, carriers add their own requirements, and your disclaimer details change with your contracts. In Hear your compliance team rewrites the check itself, in its own words, and the calls that follow are checked against the new standard.
“One agent's calls can put a carrier appointment on the line. I usually hear about it from the carrier.”
Your contracts ride on how every agent sounds, including the ones you met in September. Checks your team writes flag missed disclaimers, plans discussed outside the Scope of Appointment and misleading claims by agent, so you can coach or pull an agent before a pattern reaches a carrier.
Signals
Each check is a plain-English sentence your team writes from its own scripts and carrier requirements. These are examples, not a library that ships with Hear.
Signals
Medicare & health insurance sales · example project
TPMO disclaimer read before benefits were discussed
ComplianceMedicare Advantage and Part D sales
“This plan has a zero dollar premium and it includes dental. Oh, and we don't offer every plan in your area.”
01:14Scope of Appointment confirmed on the call
ComplianceInbound enrollment line
“You agreed to talk about Medicare Advantage and drug plans today. Is that still what you'd like to cover?”
04:37No products discussed outside the agreed scope
ComplianceOutbound appointment calls
“While I have you, let me tell you about a hospital indemnity plan that pairs really well with this one.”
07:00No statement that Medicare endorses a plan
ComplianceSeasonal AEP agents
“Medicare recommends this plan for people on your prescriptions, so you're in good hands.”
00:23Effect on current coverage explained before enrollment
Agent evaluationEnrollment and verification
“When this plan starts, your current Medicare Advantage plan ends. You won't have both at the same time.”
03:46Caller says a change was not explained
Customer satisfactionPost-enrollment and retention calls
“Nobody told me my old plan would end. Now my cardiologist says he isn't in my network.”
06:09Illustrative examples. Your team defines the checks in plain English.
How it works
Recordings and transcripts arrive by SFTP, REST API, webhook or a shared folder. No change to your telephony or your recording setup.
Your scorecard and your checks, written in plain English. Each department, desk or entity can run its own set.
Hear transcribes, redacts personal data and scores every conversation you send against your rules, not a sample.
Flags arrive with the quote, timestamp and audio, by email, Slack or webhook, and become assigned tasks with an owner.
Security and governance
Medicare sales calls carry personal details about the people you serve. Access stays tight, and each line of business stays separate.
Names, emails, phone numbers, addresses, IDs, and card and account numbers are redacted from transcripts.
SSO/SAML, SCIM, role-based permissions, audit logs, private tenants and audio encrypted at rest.
Medicare Advantage, supplement and individual health lines can each sit in their own project with their own checks, permissions and retention.
Ingest by SFTP, REST API, webhook or shared folder, with webhook sources including Genesys, Cisco and 3CX.
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