Processes

What will AGI do for Enter OCR claims into claims system?

An Optical Character Recognition (OCR) engine outputs a digitized data payload from a scanned paper or faxed claim form.

Trigger
An Optical Character Recognition (OCR) engine outputs a digitized data payload from a scanned paper or faxed claim form.
Outcome
The extracted claim data is successfully mapped, validated, and created as a new record in the core claims adjudication system.

The work itself

Grounded Work Profile

Measured by

  • OCR First-Pass YieldprocessProfile
  • Exception Routing RateprocessProfile
  • System Entry Cycle TimeprocessProfile
  • Cost Per Claim EnteredprocessProfile

Key steps

  • Receive digitized data payload from OCR engineprocessProfile
  • Validate extracted fields against standard claim formatsprocessProfile
  • Route low-confidence or missing fields to manual exception queuesprocessProfile
  • Map validated data elements to core system schemaprocessProfile
  • Commit the new claim record into the adjudication systemprocessProfile
  • Assign a claim tracking number for subsequent processingprocessProfile

How AGI delivers it

Four ways AGI delivers for Enter OCR claims into claims system

  • 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

How Enter OCR claims into claims system connects

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