Processes

What will AGI do for Manage preauthorizations?

A submitter initiates a request for authorization prior to performing a service, executing a repair, or processing a transaction.

Trigger: A submitter initiates a request for authorization prior to performing a service, executing a repair, or processing a transaction.
Outcome: The request is adjudicated, and an approval code or denial decision is recorded and communicated to the submitter.

The work itself

Grounded Work Profile

Receive preauthorization request and associated evidenceprocessProfile
Verify eligibility, coverage limits, and policy active statusprocessProfile
Review request against business rules, warranty terms, or necessity guidelinesprocessProfile
Request and process additional documentation if neededprocessProfile
Determine approval, modification, or denial of the requestprocessProfile
Issue authorization code and notify the submitterprocessProfile
Update the core system with the preauthorization statusprocessProfile

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

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