AGI.do

Processes

What will AGI do for Invoice the payor(s)?

AI-deliverabilitydigital

With no child occupations seeded, the evaluation relies on the process name 'Invoice the payor(s)' and its lens within the healthcare-provider framework. Invoicing is fundamentally a financial and administrative task focused on compiling data, generating bills, and transmitting claims, which is pure information transformation that is highly addressable by software.

A patient encounter is fully documented, medically coded, and cleared for billing.

Trigger
A patient encounter is fully documented, medically coded, and cleared for billing.
Outcome
An accurate medical claim or invoice is successfully transmitted to the insurance payor or patient for payment.

The work itself

Grounded Work Profile

Measured by

  • Clean Claim RateprocessProfile
  • Cost Per Claim SubmittedprocessProfile
  • First-Pass Acceptance RateprocessProfile
  • Billing Cycle TimeprocessProfile

Key steps

  • Receive coded encounter and charge dataprocessProfile
  • Verify patient insurance coverage and payer-specific rulesprocessProfile
  • Apply charge master pricing to billable servicesprocessProfile
  • Generate the standard medical claim or patient statementprocessProfile
  • Scrub the claim for errors and missing informationprocessProfile
  • Transmit the claim to the clearinghouse or payorprocessProfile

How AGI delivers it

Four ways AGI delivers for Invoice the payor(s)

  • 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

How Invoice the payor(s) connects

measured by

  • Average number of line items per invoicestandard
  • Average value per line item billedstandard
  • Cycle time in days between transmission of invoice and shipment of goods or delivery of servicesstandard
  • Cycle time in days to generate complete and correct billing datastandard
  • Cycle time in days to perform the process "invoice customer"standard
  • Estimate if not using AI - Cycle time in days from transmission of invoice to receipt of paymentstandard
  • Number of FTEs that perform the process "invoice customer" per $1 billion revenuestandard
  • Number of active customers per FTE that performs the process "invoice customer"standard
  • Number of consolidated billing customers as a percentage of overall customersstandard
  • Number of customer accounts per FTE that performs the process "invoice customer"standard
  • Number of invoice line items processed per FTE that performs the process "invoice customer"standard
  • Number of invoices processed per FTE that performs the process "invoice customer"standard
  • Number of updates to the customer master file per FTE that performs the process "invoice customer"standard
  • Other cost to perform the process "invoice customer" as a percentage of total process coststandard
  • Other cost to perform the process "invoice customer" per $100,000 revenuestandard
  • Outsourced cost to perform the process "invoice customer" as a percentage of total process coststandard
  • Outsourced cost to perform the process "invoice customer" per $1,000 revenuestandard
  • Overhead and other cost to perform the process "invoice customer" as a percentage of total process coststandard
  • Overhead and other costs to perform the process "invoice customers" per $100,000 revenuestandard
  • Overhead cost to perform the process "invoice customer" as a percentage of total process coststandard
  • Overhead cost to perform the process "invoice customer" per $100,000 revenuestandard
  • Percentage of FTEs who perform the process "invoice customer" who perform management activitiesstandard
  • Percentage of billed%2Finvoiced line items offering a discountstandard
  • Percentage of billed%2Finvoiced line items offering a discount for which the discount is takenstandard
  • Percentage of consolidated billing on a daily schedulestandard
  • Percentage of consolidated billing on a monthly schedulestandard
  • Percentage of consolidated billing on a schedule other than daily, weekly, or monthlystandard
  • Percentage of consolidated billing on a weekly schedulestandard
  • Percentage of invoice line items invoiced using electronic or automatic methodsstandard
  • Percentage of invoice line items processed error free the first timestandard
  • Percentage of invoice line items that are denominated in a foreign currencystandard
  • Percentage of invoices automatically generated and distributed without manual interventionstandard
  • Percentage of invoices automatically generated based on event triggersstandard
  • Percentage of invoices that are customizedstandard
  • Percentage of total finance function FTEs allocated to the process "invoice customer"standard
  • Personnel cost to perform the process "invoice customer" as a percentage of total process coststandard
  • Personnel cost to perform the process "invoice customer" per $1,000 revenuestandard
  • Personnel cost to perform the process "invoice customer" per process FTEstandard
  • Revenue billed through consolidated billing as a percentage of annual salesstandard
  • Systems cost to perform the process "invoice customer" as a percentage of total process coststandard
  • Systems cost to perform the process "invoice customer" per $100,000 revenuestandard
  • Total cost to perform the process "invoice customer" as a percentage of revenuestandard
  • Total cost to perform the process "invoice customer" per $1,000 revenuestandard
  • Total cost to perform the process "invoice customer" per $1 billion revenuestandard
  • Total cost to perform the process "invoice customer" per active customerstandard
  • Total cost to perform the process "invoice customer" per customer accountstandard
  • Total cost to perform the process "invoice customer" per invoice line item processedstandard
  • Total cost to perform the process "invoice customer" per invoice processedstandard
  • Total cost to perform the process "invoice customer" per process FTEstandard
  • Total cost to perform the process "invoice customers" as a percentage of total order-to-cash process coststandard
  • Value per invoice line item that is paid in full the first timestandard
  • Weighted average days to bill cycle timestandard

Go deeper

Explore Invoice the payor(s)

Read the deeper take on agi.asView as markdown