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0:52
YouTube
Accelirate Inc.
Claims Adjudication: Payment Review & Posting | Part 1 | #Automation #AIagents
In claims adjudication, the process answers key questions: Was the claim paid? How much? Does it need an appeal? The Remittance Adaptation Agent ingests ERRA/EOB batches, parses the 835, and determines payment status—full, partial, adjusted, or denied. It applies COB rules, links payer details, and flags discrepancies. The Posting Agent then ...
17 views
2 weeks ago
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