AGI.do

Services

What will AGI do for Flexible spending accounts FSA?

Provides the employee with a way to reimburse themselves for health care expenses not covered under the medical and dental plans and not payable by any other source with before-tax dollars

The work itself

Grounded Work Profile

Tools

  • Benefits Administration PlatformserviceBlueprint
  • Card Issuing PlatformserviceBlueprint
  • Claims Adjudication SystemserviceBlueprint
  • Payment Processing SystemserviceBlueprint
  • Member PortalserviceBlueprint

Outputs

  • Claims Adjudication RecordserviceBlueprint
  • Account Balance StatementserviceBlueprint
  • Substantiation Audit LogserviceBlueprint

Measured by

  • Claims Processing TimeserviceBlueprint
  • Substantiation Accuracy RateserviceBlueprint

Key steps

  • Enroll employee in FSA planserviceBlueprint
  • Configure plan and contribution rulesserviceBlueprint
  • Issue benefits debit cardserviceBlueprint
  • Adjudicate eligible claimsserviceBlueprint
  • Reimburse approved expensesserviceBlueprint
  • Report account balancesserviceBlueprint

How AGI delivers it

Four ways AGI delivers for Flexible spending accounts FSA

  • 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

Value flow

How Flexible spending accounts FSA connects

absorbs

  • Benefits Administration Processmodel
  • Benefits Claims Administrationmodel
  • Claims Processing Processmodel
  • Substantiation Reviewmodel

composes

measured by

  • Adjudication Accuracymodel
  • Claim Turnaround Timemodel
  • Claims Processing Timemodel
  • Plan Compliance Ratemodel
  • Substantiation Accuracy Ratemodel

optimizes

  • Auto-Substantiation Ratemodel
  • Claim Processing Timemodel
  • Claims Auto Adjudication Ratemodel
  • Member Satisfactionmodel
  • Reimbursement Accuracymodel

produces

  • Account Balance Statementmodel
  • Claims Adjudication Recordmodel
  • Participant Balance Datasetmodel
  • Plan Compliance Reportmodel
  • Reimbursement Ledgermodel
  • Substantiation Audit Logmodel

realizes

  • Adjudicate claims against IRS rulesmodel
  • Adjudicate eligible claimsmodel
  • Configure plan and contribution rulesmodel
  • Configure plan and enrollmentmodel
  • Disburse reimbursements to participantsmodel
  • Enroll employee in FSA planmodel
  • Enroll employees and issue cardsmodel
  • Issue benefits debit cardmodel
  • Receive and substantiate claimsmodel
  • Reconcile and report to employermodel
  • Reimburse approved expensesmodel
  • Report account balancesmodel
  • Report balances to participantsmodel

Go deeper

Explore Flexible spending accounts FSA

Read the deeper take on agi.asView as markdown