Departments

What will AGI do for Membership and Eligibility?

Positioning for this Coordinate is coming soon.

How AGI delivers it

Four ways AGI delivers for Membership and Eligibility

  • Autonomous Agents as digital employees

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

    For Membership and Eligibility, 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 Membership and Eligibility, 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 Membership and Eligibility, get the professional outcome delivered as software, priced on results, not headcount.

Value flow

How Membership and Eligibility connects

measured by

  • Eligibility Determination Accuracy Ratemodel
  • Eligibility Discrepancy Ratemodel
  • Enrollment Processing Turnaround Timemodel
  • Retroactive Adjustment Volumemodel

runs

  • Coverage Effective Date Managementmodel
  • Eligibility Determinationmodel
  • Eligibility File Reconciliationmodel
  • Eligibility Rules Configurationmodel
  • Enrollment Change Processingmodel