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Claim Submission & Status (Provider to Payer)
by Internal Labs
0
Process Template
<100
Summary
Summary
An agentic process built with Maestro and modeled using BPMN for managing claim validation, eligibility checks, clearinghouse submission, payer acknowledgments, and status tracking.
Overview
Overview
This agentic process is built with Maestro and is modeled using BPMN for claim submission and status tracking from provider to payer. It streamlines the validation of claims, ensures eligibility verification, manages submissions through clearinghouses, tracks payer acknowledgments, and monitors claim status—reducing denials, accelerating reimbursement, and improving provider revenue cycle management.
What is Agentic Orchestration?
Agentic orchestration enables you to orchestrate AI agents, robots, and people to exceed business outcomes.
With agentic orchestration powered by UiPath Maestro, you can:
- Adopt agents effortlessly, with control: easily model, orchestrate, and optimize agentic processes involving agents, robots, and people.
- Scale automation to complex, intelligent processes: manage and scale processes end-to-end more effectively, leading to better outcomes and higher ROI from automation initiatives.
- Simplify processes – and the way they’re managed: enhance process outcomes by accelerating and simplifying how processes are managed.
Features
Features
- End-to-End Orchestration Coordinate agent, robot, and human tasks across the claim submission lifecycle – claim validation, eligibility checks, clearinghouse submission, payer acknowledgments, and status tracking.
- BPMN-Based Process Modeling Visualize and manage workflows using BPMN, enabling you to easily design, optimize, and adapt processes.
Technical
Version
1.0.0Updated
September 26, 2025Certification
Silver Certified
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