AGI.do

Processes

What will AGI do for Verify member information?

A healthcare provider, policyholder, or internal claims system submits a request to confirm active coverage or demographic details.

Trigger
A healthcare provider, policyholder, or internal claims system submits a request to confirm active coverage or demographic details.
Outcome
The member's identity, active enrollment status, and specific plan benefits are confirmed and communicated back to the requestor.

The work itself

Grounded Work Profile

Measured by

  • Verification Turnaround TimeprocessProfile
  • Verification Accuracy RateprocessProfile
  • First-Call Resolution RateprocessProfile
  • Cost Per VerificationprocessProfile

Key steps

  • Receive member verification requestprocessProfile
  • Search policy administration system for member recordprocessProfile
  • Authenticate member identity and demographic dataprocessProfile
  • Check active enrollment status and effective datesprocessProfile
  • Determine specific benefit eligibility and copay requirementsprocessProfile
  • Transmit verification confirmation to the requestorprocessProfile

How AGI delivers it

Four ways AGI delivers for Verify member information

  • 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 Verify member information connects

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