Payment integrity Model status
Centene · payment integrity
Model status

Agents behind this audit

What the Run button on a claim actually calls, and whether it is reachable right now.

No platform credentials configured
https://genesis.demo.autonomize.ai/studio

The app runs without them — every claim shows the finding computed in advance, and the Run button says so rather than failing. To call the agents, set the tenant credentials in .env and restart.

Healthcare Claims Audit Agent

role: claims_audit
Not configured

Coding, bundling, pricing and outlier review on a claim.

Drives 17 claims in this batch
Workflow id 627c4d1c-6ebc-4780-ac12-59c327846f0d
Input field message

DRG Validation Agent

role: drg
Not configured

Confirms the billed DRG is clinically supported before payment.

Drives 8 claims in this batch
Workflow id 66402845-0d7e-45fc-ba15-5c6e3086d21c
Input field input_text
Raw response

The same data as JSON, served at /health/workflows for scripts and health checks.

{
  "tenant": "demo",
  "platform": "https://genesis.demo.autonomize.ai/studio",
  "enabled": false,
  "workflows": {
    "claims_audit": {
      "label": "Healthcare Claims Audit Agent",
      "purpose": "Coding, bundling, pricing and outlier review on a claim.",
      "live": true,
      "input_field": "message",
      "id": "627c4d1c-6ebc-4780-ac12-59c327846f0d",
      "status": "unconfigured"
    },
    "drg": {
      "label": "DRG Validation Agent",
      "purpose": "Confirms the billed DRG is clinically supported before payment.",
      "live": true,
      "input_field": "input_text",
      "id": "66402845-0d7e-45fc-ba15-5c6e3086d21c",
      "status": "unconfigured"
    }
  }
}