Healthcare
Coordinate the administrative work around care.
Gather records, check administrative requirements and route missing information to the responsible care or review team.
← All industriesConnected work in healthcare
Keep the administrative case moving.
Authorizations, claims and referrals can wait on missing records, payer responses or handoffs between teams. Coordinate those steps while qualified care professionals retain clinical judgment.
Bring your existing systems
- Patient administration
- Health records
- Payer portals
Connect the accounts and actions your process needs, with the appropriate access and review.
Processes in healthcare
Where could you put
Mossaic to work?
Explore 6 examples, from the event that starts the work to the decision and the recorded result.
02Claims Processing
A healthcare claim or denial enters review.
Claims Processing
A healthcare claim or denial enters review.
- AI prepares
Gather claim details, coding records and payer correspondence.
- Rules check
Check configured billing requirements and identify discrepancies.
- People decide
The authorised billing or clinical reviewer decides corrections or appeal.
- Systems record the result
A reviewed claim action with evidence and a recorded next step.
03Patient Intake
A patient registers for a visit or service.
Patient Intake
A patient registers for a visit or service.
- AI prepares
Prepare the registration details, consent records and insurance information.
- Rules check
Check the required administrative fields and outstanding documents.
- People decide
The intake team resolves missing information and confirms readiness.
- Systems record the result
A registration record with completed checks and open follow-up tasks.
04Medical Record Review
A health-record review is requested.
Medical Record Review
A health-record review is requested.
- AI prepares
Prepare a sourced summary of the relevant history and documentation.
- Rules check
Check the required review fields and flag missing or conflicting entries.
- People decide
A qualified clinician validates the summary and any clinical judgment.
- Systems record the result
A validated review record with references and outstanding questions.
05Care Coordination
A referral or care plan needs coordination between providers.
Care Coordination
A referral or care plan needs coordination between providers.
- AI prepares
Gather the plan, outstanding referrals and appointment information.
- Rules check
Check required handoffs and follow-up dates.
- People decide
The responsible care professional confirms priorities and clinical decisions.
- Systems record the result
A coordination record with confirmed handoffs and assigned follow-up.
06Clinical Documentation Audit
A clinical documentation audit is scheduled.
Clinical Documentation Audit
A clinical documentation audit is scheduled.
- AI prepares
Compare the selected records with the agreed audit checklist.
- Rules check
Flag missing documentation, coding differences and required evidence.
- People decide
A qualified reviewer validates findings and assigns corrections.
- Systems record the result
A reviewed audit record with corrective tasks and completion evidence.
Clinical decisions stay with qualified professionals. Patient data access, AI use and required healthcare controls must be assessed and configured before implementation.
Start with the work on your mind
Where does your
process get stuck?
Bring a process, a recurring exception or a handoff that takes too much chasing. We’ll explore where Mossaic could help.
Book a demo