Denials Management

Denials Management

by Internal Labs

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Process Template

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Summary

Summary

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

Overview

Overview

This agentic process is built with Maestro and is modeled using BPMN for denials management. It streamlines the identification and categorization of payer denials, facilitates correction of errors, prepares appeals, manages resubmissions, and coordinates escalation workflows—helping providers recover revenue, reduce denial rates, and strengthen overall 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 denials management lifecycle – categorization, correction, appeal preparation, resubmission, and escalation workflows.
  • BPMN-Based Process Modeling Visualize and manage workflows using BPMN, enabling you to easily design, optimize, and adapt processes.

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