CompanyTypes

What will AGI do for Disability Determination Services?

Key roles: Disability Adjudicator, Disability Examiner, Medical Consultant (MC), Psychological Consultant (PC), Quality Assurance Reviewer, Consultative Examination (CE) Coordinator, Professional Relations Officer (PRO), Disability Hearing Officer (DHO), Vocational Expert, Medical Records Technician, Claim Support Specialist, Adjudication Unit Supervisor. Departments: Claims Adjudication, Medical and Psychological Consulting, Consultative Examination (CE) Coordination, Quality Assurance (QA) Review, Medical Professional Relations (MPR), Vocational Analysis, Disability Hearings Unit, Evidence Collection and Records.

The opportunity

What AGI will do for Disability Determination Services

The work itself

Grounded Work Profile

Tools

  • Disability Case Processing Systemtools
  • Electronic Case Analysis Tooltools
  • Hyland OnBasetools
  • Tyler Entellitraktools
  • EpicCare Linktools
  • Nuance Dragon Medicaltools
  • LexisNexis Accurinttools
  • Salesforce Public Sectortools

Inputs

  • Medical NLP ModelsbusinessModelCanvas
  • Disability Policy KnowledgebasesbusinessModelCanvas
  • HIPAA Compliant EnclavesbusinessModelCanvas
  • Clinical Taxonomy MapsbusinessModelCanvas
  • Adjudication Workflow EnginesbusinessModelCanvas

Outputs

  • Automates medical evidence extractionbusinessModelCanvas
  • Accelerates claim adjudication timelinesbusinessModelCanvas
  • Cross-references federal disability criteriabusinessModelCanvas
  • Standardizes psychological consulting reviewsbusinessModelCanvas
  • Reduces QA rejection ratesbusinessModelCanvas
  • Consolidates vocational expert evidencebusinessModelCanvas
  • Per-claim processing feesbusinessModelCanvas
  • Enterprise workflow licensingbusinessModelCanvas
  • Custom model training contractsbusinessModelCanvas
  • API integration access feesbusinessModelCanvas
  • Dedicated instance hostingbusinessModelCanvas

Key steps

  • Medical Record ExtractionbusinessModelCanvas
  • Adjudication Workflow AutomationbusinessModelCanvas
  • Policy Criteria MappingbusinessModelCanvas
  • Algorithmic Bias TestingbusinessModelCanvas
  • Security Protocol EnforcementbusinessModelCanvas

Value flow

How Disability Determination Services connects

has department

  • Claims Adjudicationmodel
  • Disability Hearingsmodel
  • Evidence Collectionmodel
  • Examination Coordinationmodel
  • Medical Consultingmodel
  • Professional Relationsmodel
  • Quality Assurancemodel
  • Vocational Analysismodel

includes

  • Audit Decisions Against Guidelinesmodel
  • Draft Adjudication Rationalemodel
  • Index Scanned Provider Faxesmodel
  • Map Symptoms To Listingsmodel
  • Match Exam Provider Schedulesmodel
  • Parse Bulk Medical PDFsmodel
  • Query Occupational Title Databasesmodel

latent gap

  • Capacity Mapmodel
  • Decisive Rationalemodel
  • Evidence Lensmodel
  • Exam Syncmodel
  • Guideline Guardmodel

serves

  • Consultative Exam Networksmodel
  • Federal Disability Reviewersmodel
  • Outsourced Adjudication Centersmodel
  • Private Disability Insurersmodel
  • State DDS Agenciesmodel

staffs

  • Claim Support Specialistmodel
  • Disability Adjudicatormodel
  • Disability Hearing Officermodel
  • Medical Consultantmodel
  • Medical Records Technicianmodel
  • Psychological Consultantmodel
  • Quality Assurance Reviewermodel
  • Vocational Expertmodel

surfaces

  • Algorithmic Claim Adjudication Enginemodel
  • Automated Medical Evidence Extractionmodel
  • Consultative Exam Triage Agentmodel
  • Predictive Vocational Impairment Routingmodel

uses tool

  • Examiner Workstationsmodel
  • Medical Record Scannersmodel
  • Secure Case File Storagemodel

How AGI delivers it

Four ways AGI delivers

  • Business-as-Code

    Encode how your work runs, once, as software that executes itself.

    Platform.do
  • Autonomous Agents as digital employees

    Hire a digital employee that does the job under earned, supervised autonomy.

    Agents.do
  • Services-as-Software

    Get the professional outcome delivered as software, priced on results, not headcount.

    Services.do
  • Headless SaaS for Agents

    Give your tools an agent-consumable surface (API / MCP / SDK) so agents can do the work.

    SaaS.studio