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Claim Submission

Electronic claim submission with scrubbing and tracking

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

Tags: claim billing submission healthcare

Workflow Diagram​

Steps​

Step 1: Generate claim​

Agent: billing

specialist - Create 837 transaction

Step 2: Scrub claim​

Agent: billing

specialist - Check for errors

Step 3: Correct issues​

Agent: billing

specialist - Fix identified problems

Step 4: Submit claim​

Agent: billing

specialist - Transmit to clearinghouse

Step 5: Confirm receipt​

Agent: billing

specialist - Verify payer received

Step 6: Track adjudication​

Agent: billing

specialist - Monitor claim status

Step 7: Record outcome​

Agent: revenue

specialist - Document payment/denial

Usage​

To execute this workflow:

/workflow industry/healthcare/claim-submission.workflow

See other workflows in this category for related automation patterns.