RCM Claims Workflow - End-to-End Agent Orchestration

CMS-1500 Claim Form

Professional claim form with patient demographics, diagnosis codes, and procedure codes

Explanation of Benefits (EOB)

Insurance payment details, adjustments, and patient responsibility

Insurance ID Card

Member information, coverage details, and copay amounts

Medical Invoice

Billing statement with services, charges, and payment information

Discharge Summary

Clinical documentation with diagnosis, treatment, and follow-up instructions

Pathology Report

Laboratory results and pathological findings for medical diagnosis

🏥 RCM Claims Workflow