Processes

What will AGI do for Report updated information to CMS?

A scheduled reporting deadline arrives or a material change in member enrollment, provider network, or plan data requires regulatory notification.

Trigger: A scheduled reporting deadline arrives or a material change in member enrollment, provider network, or plan data requires regulatory notification.
Outcome: The updated data is successfully transmitted, processed, and accepted by CMS systems with all errors reconciled.

The work itself

Grounded Work Profile

Identify member, provider, or plan data changes requiring CMS reportingprocessProfile
Extract and format data to meet CMS technical submission requirementsprocessProfile
Execute internal validation checks against CMS business rulesprocessProfile
Transmit data files via the designated CMS reporting gatewayprocessProfile
Reconcile CMS acknowledgment and error reportsprocessProfile
Correct and resubmit any rejected recordsprocessProfile

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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