Processes

Enter OCR claims into claims system

How enter ocr claims into claims system are reshaped as AGI capability advances.

ProcessesEnter OCR claims into claims system
Enter OCR claims into claims system — illustrated

Business-as-Code

Read as an executable program — the work decomposed into Code, Generative, Agentic, and Human.

Enter OCR claims into claims system sits inside a larger value-flow — 1 parent structure it composes into. The hierarchy is grounding, not the story: it tells you which aggregate exposure Enter OCR claims into claims system inherits.

Where Enter OCR claims into claims system sits

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How the work flows

Trigger: An Optical Character Recognition (OCR) engine outputs a digitized data payload from a scanned paper or faxed claim form.

  1. Receive digitized data payload from OCR engine
  2. Validate extracted fields against standard claim formats
  3. Route low-confidence or missing fields to manual exception queues
  4. Map validated data elements to core system schema
  5. Commit the new claim record into the adjudication system
  6. Assign a claim tracking number for subsequent processing

Outcome: The extracted claim data is successfully mapped, validated, and created as a new record in the core claims adjudication system.

Measured by

OCR First-Pass YieldException Routing RateSystem Entry Cycle TimeCost Per Claim Entered