Processes

What will AGI do for Process encounter information?

A healthcare provider or clearinghouse submits a record of services rendered to a covered member.

Trigger: A healthcare provider or clearinghouse submits a record of services rendered to a covered member.
Outcome: The encounter data is validated, stored internally, and successfully accepted by the appropriate regulatory body or risk adjustment platform.

The work itself

Grounded Work Profile

Receive encounter data files from healthcare providers or clearinghouses.processProfile
Validate file formats and required fields against industry EDI standards.processProfile
Identify data anomalies and coding errors.processProfile
Return rejected encounter records to providers for remediation.processProfile
Load validated records into internal data warehouses.processProfile
Transmit standardized encounter data to regulatory agencies.processProfile
Reconcile agency acknowledgment reports with submitted data.processProfile

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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