Processes

What will AGI do for Record and report CMS true-up?

The close of the plan year or the receipt of preliminary settlement data from CMS initiates the reconciliation cycle.

Trigger: The close of the plan year or the receipt of preliminary settlement data from CMS initiates the reconciliation cycle.
Outcome: Final financial true-up adjustments are posted to the general ledger and formal reconciliation reports are accepted by CMS.

The work itself

Grounded Work Profile

Aggregate annual claims and enrollment dataprocessProfile
Calculate estimated CMS risk and subsidy settlementsprocessProfile
Reconcile internal financial estimates with preliminary CMS reportsprocessProfile
Investigate and resolve membership or claims data variancesprocessProfile
Post financial true-up adjustments to the general ledgerprocessProfile
Transmit final true-up reports and attestations to CMSprocessProfile

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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