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Insurance Verification Workflow

Automate insurance eligibility verification, benefit checking, and prior authorization processing for clinical services

Complexity: Moderate | Duration: 15-30m | Category: Industry/Education

Tags: #healthcare #insurance #eligibility #authorization #revenue-cycle

Workflow Diagram​

Steps​

Step 1: Build verification integration​

Agent: orchestrator

connect to clearinghouse APIs

Step 2: Create batch processing​

Agent: orchestrator

handle bulk eligibility checks

Step 3: Implement benefit parsing​

Agent: orchestrator

extract coverage details

Step 4: Build authorization workflow​

Agent: orchestrator

manage prior auth requests

Step 5: Create denial management​

Agent: orchestrator

handle rejections and appeals

Step 6: Generate reporting​

Agent: orchestrator

track verification metrics

Usage​

To execute this workflow:

/workflow industry/education/insurance-verification-workflow.workflow

See other workflows in this category for related automation patterns.