AGI.do

Processes

What will AGI do for Process reimbursement and notification?

An adjudicated claim decision is finalized and requires payment distribution or member notification.

Trigger
An adjudicated claim decision is finalized and requires payment distribution or member notification.
Outcome
Funds are transferred to the appropriate provider or member, and the final Explanation of Benefits is successfully delivered.

The work itself

Grounded Work Profile

Measured by

  • Reimbursement Cycle TimeprocessProfile
  • Payment Accuracy RateprocessProfile
  • Cost Per Claim PaymentprocessProfile
  • Notification Delivery Success RateprocessProfile

Key steps

  • Receive finalized claim adjudication dataprocessProfile
  • Calculate final reimbursement and member responsibility amountsprocessProfile
  • Generate Explanation of Benefits and remittance advice documentsprocessProfile
  • Execute electronic fund transfers or issue physical checksprocessProfile
  • Distribute notifications to providers and membersprocessProfile
  • Log payment transactions in the financial ledgerprocessProfile

How AGI delivers it

Four ways AGI delivers for Process reimbursement and notification

  • 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 Process reimbursement and notification connects

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Go deeper

Explore Process reimbursement and notification

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