Processes

What will AGI do for Compile claim data into required format?

Raw medical claim data or a batch file is ingested from a healthcare provider, member, or clearinghouse.

Trigger: Raw medical claim data or a batch file is ingested from a healthcare provider, member, or clearinghouse.
Outcome: The claim data is fully standardized, formatted into the required technical structure, and successfully staged for the adjudication system.

The work itself

Grounded Work Profile

Extract raw data from incoming provider or member submissions.processProfile
Identify missing or malformed required data fields.processProfile
Map extracted data elements to standard insurance coding schemes.processProfile
Translate the data payload into the required standardized technical structure.processProfile
Stage the compiled claim record for downstream adjudication or processing.processProfile

How AGI delivers it

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
Business-as-Code
Encode how your work runs, once, as software that executes itself.
Platform.do

Value flow

Go deeper