AI Agent
Multi-Agent Insurance Claims Processing Digital Worker
Active
Medical Necessity Evaluator Agent
Applies **clinical guidelines and evidence-based criteria** using Med-PaLM-2 for medical reasoning. Evaluates diagnosis-treatment alignment, clinical appropriateness, and guideline compliance with consistent, auditable decision logic.
Parent Worker
Multi-Agent Insurance Claims Processing Digital Worker
Status
Operational
Problem Statement
The challenge addressed
Core Logic
How the agent solves it
System Navigation
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Portal
Nexgile-VitaAgent - Intelligent Healthcare Ecosystem
Digital Worker
Multi-Agent Insurance Claims Processing Digital Worker
Current Agent
Medical Necessity Evaluator Agent
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