Departments

What will AGI do for Appeals?

Positioning for this Coordinate is coming soon.

How AGI delivers it

Four ways AGI delivers for Appeals

  • Autonomous Agents as digital employees

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

    For Appeals, hire a digital employee that does the job under earned, supervised autonomy.

  • Business-as-Code

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

    For Appeals, encode how your work runs, once, as software that executes itself.

  • Services-as-Software

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

    For Appeals, get the professional outcome delivered as software, priced on results, not headcount.

Value flow

How Appeals connects

measured by

  • Appeal Resolution Ratemodel
  • Appeal Turnaround Timemodel
  • Overturn Ratemodel
  • Timeliness Compliance Ratemodel

runs

  • Adjudicate Appeal Decisionsmodel
  • Conduct Medical Necessity Reviewmodel
  • Coordinate Independent External Reviewmodel
  • Issue Appeal Determinationsmodel
  • Review Denied Claim Appealsmodel