Industry processes
Claims Processing
Coding validation, adjudication, denial management.
- case resolution
- case intake
- evidence
- response
How it works
Today
Reviewers gather forms, policy, medical or claim evidence, status notes, and payer/customer context by hand.
With Superprocess
The case arrives with facts extracted, criteria checked, gaps identified, and the next decision clear.
01 · Read
Agents extract facts.
Agents extract dates, codes, coverage facts, missing evidence, and policy criteria with citations.
02 · Check
Process applies rules.
The process waits across document collection, payer responses, callbacks, and review queues.
03 · Review
People decide exceptions.
The reviewer handles coverage, clinical, or exception judgment with the evidence already assembled.
Patient Intake
Insurance verification, consent collection, record retrieval.
- document intake
- document intake
- field extraction
- review packet
How it works
Today
Reviewers gather forms, policy, medical or claim evidence, status notes, and payer/customer context by hand.
With Superprocess
The case arrives with facts extracted, criteria checked, gaps identified, and the next decision clear.
01 · Read
Agents extract facts.
Agents extract dates, codes, coverage facts, missing evidence, and policy criteria with citations.
02 · Check
Process applies rules.
The process waits across document collection, payer responses, callbacks, and review queues.
03 · Review
People decide exceptions.
The reviewer handles coverage, clinical, or exception judgment with the evidence already assembled.
Medical Record Review
Summarize history, flag alerts, extract structured data.
- risk triage
- signal scoring
- risk route
- investigator packet
How it works
Today
Reviewers gather forms, policy, medical or claim evidence, status notes, and payer/customer context by hand.
With Superprocess
The case arrives with facts extracted, criteria checked, gaps identified, and the next decision clear.
01 · Read
Agents extract facts.
Agents extract dates, codes, coverage facts, missing evidence, and policy criteria with citations.
02 · Check
Process applies rules.
The process waits across document collection, payer responses, callbacks, and review queues.
03 · Review
People decide exceptions.
The reviewer handles coverage, clinical, or exception judgment with the evidence already assembled.
Care Coordination
Multi-provider process tracking.
- planning
- signals
- scenarios
- planner signoff
How it works
Today
Healthcare teams pulls planning inputs from multiple places, then spends the review explaining what changed.
With Superprocess
The team starts with changed inputs, scenario options, assumptions, and open tradeoffs already packaged.
01 · Assemble
Agents gather the moving signals.
They collect EHR, Payer portal, and Claims system and highlight the deltas that matter.
02 · Compare
The process turns signals into scenarios.
It calls the right planning logic, checks constraints, and keeps late inputs from breaking the run.
03 · Approve
People approve the tradeoff.
The owner sees the recommended scenario, assumptions, and operating impact before publication.
Clinical Documentation Audit
Coding accuracy, compliance validation, deficiency flagging.
- document intake
- document intake
- field extraction
- review packet
How it works
Today
Healthcare teams reads documents, copies fields, checks policy, and follows up on missing evidence by hand.
With Superprocess
Clean documents flow through; ambiguous fields become focused review tasks.
01 · Read
Agents extract facts.
Agents extract facts from EHR, Payer portal, and Claims system with citations and confidence.
02 · Check
Process applies rules.
The process waits across missing documents, callbacks, approvals, retries, and system updates.
03 · Review
People decide exceptions.
Reviewers decide only the uncertain or policy-sensitive cases.
Ready to scope one of these for your operation?
We shadow your ops, scope the process, blueprint it, pilot it, and ship it to production. Typically 6–12 weeks to first production value.