Appeals & Grievances

by Internal Labs

<100

An agentic process built with Maestro and modeled using BPMN for automating dispute intake, transaction validation, merchant notifications, chargeback processing, and arbitration handling.

by Internal Labs

<100

An agentic process built with Maestro and modeled using BPMN for coordinating policy validation, fraud scoring, payout estimation, reinsurance checks, and settlement issuance.

by Internal Labs

<100

An agentic process built with Maestro and modeled using BPMN for orchestrating eligibility screening, consent, baseline assessments, financial clearance, and enrollment registration.

by Internal Labs

<100

An agentic process built with Maestro and modeled using BPMN for managing KPI collection, SLA threshold evaluation, breach detection, root cause analysis, and mitigation planning.

by Internal Labs

<100

An agentic process built with Maestro and modeled using BPMN for handling payer denials through categorization, correction, appeal preparation, resubmission, and escalation workflows.

by Internal Labs

<100

An agentic process built with Maestro and modeled using BPMN for managing ticket intake, auto-classification, SLA-driven escalations, NOC/field assignments, and resolution tracking.

by Internal Labs

<100

An agentic process built with Maestro and modeled using BPMN for managing claim validation, eligibility checks, clearinghouse submission, payer acknowledgments, and status tracking.

by Internal Labs

<100

An agentic process built with Maestro and modeled using BPMN for analyzing churn risk, generating personalized offers, managing outreach, tracking customer responses, and escalating when required.

by Internal Labs

<100

An agentic process built with Maestro and modeled using BPMN for coordinating payment intake, fraud checks, allocation, GL posting, overdue reminders, and collections escalation.

by Internal Labs

<100

An agentic process built with Maestro and modeled using BPMN for orchestrating payment validation, fraud screening, data enrichment, settlement handling, ledger posting, and exception resolution.

by Internal Labs

<100

An agentic process built with Maestro and modeled using BPMN for coordinating patient registration, insurance eligibility checks, medical history pulls, intake forms, and record creation.

by Internal Labs

<100

An agentic process built with Maestro and modeled using BPMN for managing authorization requests, coverage checks, nurse/medical director reviews, additional info requests, and decisions.

by Internal Labs

<100

An agentic process built with Maestro and modeled using BPMN for automating dispute intake, transaction validation, merchant notifications, chargeback processing, and arbitration handling.

by Internal Labs

<100

An agentic process built with Maestro and modeled using BPMN for coordinating policy validation, fraud scoring, payout estimation, reinsurance checks, and settlement issuance.

by Internal Labs

<100

An agentic process built with Maestro and modeled using BPMN for orchestrating eligibility screening, consent, baseline assessments, financial clearance, and enrollment registration.

by Internal Labs

<100

An agentic process built with Maestro and modeled using BPMN for managing KPI collection, SLA threshold evaluation, breach detection, root cause analysis, and mitigation planning.