Processes

What will AGI do for Identify and recruit providers?

AI-deliverabilitydigital

The focus is the APQC process 'Identify and recruit providers' within the Health Insurance industry. With no seeded child occupations, the scalar is derived from the process name. Sourcing, evaluating, and contracting medical providers is heavily administrative knowledge work, involving database research, electronic communication, and digital contract management, placing it firmly in the digital band.

A gap in the healthcare provider network is identified due to geographic coverage needs, specialty shortages, or strategic expansion goals.

Trigger
A gap in the healthcare provider network is identified due to geographic coverage needs, specialty shortages, or strategic expansion goals.
Outcome
Qualified healthcare providers agree to join the payer's network and proceed to formal credentialing and contracting.

The work itself

Grounded Work Profile

Measured by

  • Time To RecruitprocessProfile
  • Provider Acceptance RateprocessProfile
  • Network Adequacy RatioprocessProfile
  • Cost Per Provider RecruitedprocessProfile

Key steps

  • Analyze current network adequacy to identify specific coverage gapsprocessProfile
  • Source potential providers meeting specialty and geographic criteriaprocessProfile
  • Conduct initial outreach and present the network value propositionprocessProfile
  • Perform preliminary verification of provider qualifications and licensureprocessProfile
  • Discuss reimbursement rates and preliminary contract termsprocessProfile
  • Secure provider commitment to initiate the formal onboarding processprocessProfile

How AGI delivers it

Four ways AGI delivers for Identify and recruit providers

  • 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