Automate medical claims processing with GPT-4 multi-agent orchestration
Schedule Trigger - Process Claims
Workflow Configuration
Simulate EHR/Billing Data
Orchestrator Agent
openai
Coding Validation Agent Tool
agenttool
Claims Submission Agent Tool
agenttool
Denial Detection Agent Tool
agenttool
Payer Follow-up Agent Tool
agenttool
Orchestrator Output Parser
noOp
Coding Validation Output Parser
noOp
Claims Submission Output Parser
noOp
Denial Detection Output Parser
noOp
Payer Follow-up Output Parser
noOp
OpenAI Model - Orchestrator
gpt-4.1-mini
OpenAI Model - Coding Validation
gpt-4.1-mini
OpenAI Model - Claims Submission
gpt-4.1-mini
OpenAI Model - Denial Detection
gpt-4.1-mini
OpenAI Model - Payer Follow-up
gpt-4.1-mini
Route by Risk Level
Check Compliance Flags
Store Audit Trail
noOp
Store Claims Records
noOp
Store Denial Records
noOp
Merge Results
Escalate to Revenue Specialist
smtp
Format Final Report
Calculate Metrics
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