Departments

What will AGI do for Claims Examination?

Positioning for this Coordinate is coming soon.

How AGI delivers it

Four ways AGI delivers for Claims Examination

  • Autonomous Agents as digital employees

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

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

Value flow

How Claims Examination connects

measured by

  • Appeal Overturn Ratemodel
  • Claim Adjudication Accuracy Ratemodel
  • Claims Decision Accuracy Ratemodel
  • Examination Cost per Claimmodel
  • Examination Cycle Timemodel
  • Fraud Referral Hit Ratemodel
  • Improper Payment Ratemodel
  • Pend Ratemodel
  • Reserve Adequacy Ratiomodel