Attachment agent for claims adjudication
Problem. Attachment-blocked claims breach adjudication SLAs and drive avoidable provider abrasion and interest cost.
Agent design. Agent extracts key fields from operative notes, EOBs and itemized bills, aligns them to the claim and flags missing documentation back to the provider before adjudication.
Outcome. Adjudicators receive complete, indexed claims rather than pending ones. Coverage and medical-necessity judgements escalate to an adjudicator with the file complete.
Acts in. Claims platform · Document repository · Provider portal
