Automate medical claims review, submission, and denial follow-up

flowchart TD trig(["scheduled claims batch run"]):::trigtime s0[["check claims for coding errors"]]:::mi s1["follow up on denials"]:::task s2["merge into status report"]:::task s3["email high risk escalations"]:::svc trig --> s0 s1 --> s2 s2 --> s3 gx{"× is claim valid"}:::gate s0 --> gx p00["submit to payer"]:::task gx -->|"valid claim"| p00 p10["flag coding error"]:::task gx -->|"invalid claim"| p10 jn{"○ claims processed"}:::gate p00 --> jn p10 --> jn jn --> s1 out[/"claim status report with escalations"/]:::out pay{{"faster reimbursement fewer stuck claims"}}:::pay s3 --> out out --> pay esc(("Alerts a person")):::human s2 -. "if it fails" .-> esc esc -.-> out classDef task fill:#e7f6fe,stroke:#34b8f0,color:#2c2a29 classDef svc fill:#f6f8fa,stroke:#7c8795,color:#2c2a29 classDef mi fill:#e7f6fe,stroke:#0079a8,color:#2c2a29,stroke-width:2px classDef human fill:#fff,stroke:#0079a8,color:#0079a8 classDef store fill:#f6f8fa,stroke:#0079a8,color:#2c2a29 classDef trig fill:#00a4eb,stroke:#0079a8,color:#fff,font-weight:bold classDef trigtime fill:#00a4eb,stroke:#0079a8,color:#fff,font-weight:bold classDef trigdata fill:#8ad4f5,stroke:#0079a8,color:#06314c,font-weight:bold classDef gate fill:#fff,stroke:#e8a23d,color:#6b4708,font-weight:bold classDef out fill:#1f9d6b,stroke:#167a53,color:#fff,font-weight:bold classDef pay fill:#06314c,stroke:#021f33,color:#fff