Processes

What will AGI do for Claims Adjudication and Case Management?

Positioning for this Coordinate is coming soon.

How AGI delivers it

Four ways AGI delivers for Claims Adjudication and Case Management

  • Autonomous Agents as digital employees

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

    For Claims Adjudication and Case Management, 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 Adjudication and Case Management, 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 Adjudication and Case Management, get the professional outcome delivered as software, priced on results, not headcount.

Value flow

How Claims Adjudication and Case Management connects

automated by

  • Care Management Platformsmodel

measured by

  • High Cost Claimant Spendmodel
  • Readmission Ratemodel

produces

  • Care Management Planmodel
  • Claim Determinationmodel