Processes

What will AGI do for Develop and manage the network?

A gap in provider coverage is identified, a geographic expansion is initiated, or a periodic network adequacy review occurs.

Trigger: A gap in provider coverage is identified, a geographic expansion is initiated, or a periodic network adequacy review occurs.
Outcome: A compliant, contracted network of healthcare providers is actively maintained and integrated into member directories and claims systems.

The work itself

Grounded Work Profile

Identify geographic and specialty coverage needs based on member demographicsprocessProfile
Recruit target healthcare providers and facilitiesprocessProfile
Conduct provider credentialing and primary source verificationprocessProfile
Negotiate reimbursement rates and execute provider contractsprocessProfile
Load provider demographic and contract data into core systemsprocessProfile
Audit provider directories for accuracy and accessibilityprocessProfile
Monitor network adequacy and manage ongoing provider relationshipsprocessProfile

How AGI delivers it

Services-as-Software
Get the professional outcome delivered as software, priced on results, not headcount.
Services.do
Autonomous Agents as digital employees
Hire a digital employee that does the job under earned, supervised autonomy.
Agents.do
Business-as-Code
Encode how your work runs, once, as software that executes itself.
Platform.do

Value flow

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