AGENTIC EXPERIENCE INDEX, SEPTEMBER 2026

Health

People are letting AI agents like ChatGPT, Claude or Gemini compare health funds and claim reimbursements.

We’ve tested how 14 health providers
deal with agents.

What we TESTED

Steps when claiming a reimbursement
done by an agent.

01

Read the invoice

Agent reads the discharge summary or the bill.

02

Compare the funds

Contribution and cover compared across funds.

03

Check what is reimbursable

Against the actual package the member holds.

Agent gets stuck
04

Submit the claim

Send it to the fund and get a reference back.

05

Switch fund, track payment

Move fund at year end; follow the money.

This is how health funds
in the Benelux scored.

Key numbers

This is the agentic readiness
of health funds today

Most can advise on all tasks

64%

9 of 14 companies

All of them put up a wall on purpose

100%

13 of 13 companies scored

Not one company could complete a job

0

0 of 14 companies

So what does an
agentic experience
in health look like?

typically
When it works
vs

Most health funds

Agents get clear advice,
but need a login to proceed.

An agent can advise on every task, and complete none of them. Everything is legible; nothing is doable.

Neutraal Ziekenfonds Vlaanderen

No items found.

Lets your agent join
or switch fund.

The only Belgian fund where the comparison read cleanly and all three action tasks reached “can advise”. An agent gets through the enrolment flow and stops at the national registry number, which agents don’t know (and rightly so).

What about the rest?

No items found.
1

of 14

Invisibles

An agent cannot reach or read them, they are just not part of the conversation.

Of which
37

Silent

No response (an error, a timeout ...). Hard to tell if it’s policy or neglect.

36

Fortress

Answer an agent with a refusal. A choice, not an accident.

13

of 14

Informers

Agents can get in and answer a question, but they cannot complete a job.

Of which
61

Showroom

Everything on display but no till. Usually by accident.

103

Gatekeeper

The task can only be completed behind a login, identity app, or in a dedicated app. Deliberate, every time.

0

of 14

Actors

Agents can complete at least one job end to end.
Always a decision to point outwards.

what answers
did our agents get?

No answer
Blocked most answers
Blocked some
Advises all
Completes most

This gets us thinking.

Opportunity

Subtitle

— Towards customers

Turn a 2 year old contract cycle into a monthly one

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Recommendation by default

— Towards customers

Turn a 2 year old contract cycle into a monthly one

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Recommendation by default

Find out
how you
are doing

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14 companies

6 in Belgium, 8 in The Netherlands.
Each was asked the same 3 tasks:

compare health funds
join or switch health fund
submit a reimbursement claim
Belgium
Solidaris
Neutraal Ziekenfonds Vlaanderen
Liberale Mutualiteit (LM)
Helan
HZIV CAAMI
Christelijke Mutualiteit (CM)
The Netherlands
Zorg en Zekerheid
Zilveren Kruis
VGZ
Salland Zorgverzekeraar
ONVZ
Menzis
DSW
CZ
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