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
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
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"
}
}
}