Skip to content
FlowHubFluxonLab
Document AI & Extractionfree

AI Powered Medical Claims Processing with Multi Agent Orchestration

by Cheng Siong ChinUpdated Aug 2026
RequiresOpenAIEmail (SMTP)Email (SMTP)
Share Post Share
ScSchedule Trigger - Process ClaimsSchedule Trigge…SeWorkflow ConfigurationWorkflow Config…CoSimulate EHR/Billing DataSimulate EHR/Bi…AgOrchestrator AgentOrchestrator Ag…ATCoding Validation Agent ToolCoding Validati…ATClaims Submission Agent ToolClaims Submissi…ATDenial Detection Agent ToolDenial Detectio…ATPayer Follow-up Agent ToolPayer Follow-up…OPOrchestrator Output ParserOrchestrator Ou…OPCoding Validation Output ParserCoding Validati…OPClaims Submission Output ParserClaims Submissi…OPDenial Detection Output ParserDenial Detectio…OPPayer Follow-up Output ParserPayer Follow-up…OpenAI Model - OrchestratorOpenAI Model - …OpenAI Model - Coding ValidationOpenAI Model - …OpenAI Model - Claims SubmissionOpenAI Model - …OpenAI Model - Denial DetectionOpenAI Model - …OpenAI Model - Payer Follow-upOpenAI Model - …SwRoute by Risk LevelRoute by Risk L…IfCheck Compliance FlagsCheck Complianc…DTStore Audit TrailStore Audit Tra…DTStore Claims RecordsStore Claims Re…DTStore Denial RecordsStore Denial Re…MeMerge ResultsESEscalate to Revenue SpecialistEscalate to Rev…SeFormat Final ReportFormat Final Re…CoCalculate MetricsCalculate Metri…1234567891011121314151617181920212223242526272829
1/5
STEPS · 29
Runs on a schedule

On a schedule, processes medical claims through multiple OpenAI agents, records decisions to a data table, and emails outcomes.

Tags

cronadvancedOpenAIEmail (SMTP)Document ExtractionAI Chatbotdiscoveredpending-review
Connects
OpenAIemailsmtpEmail (SMTP)
CategoryDocument AI & Extraction
Triggercron
Complexityadvanced
Nodes27
AddedJun 27, 2026