Automation library · AI assistants

End-to-end healthcare RCM automation suite

Started by a clock. It calls services over plain HTTP rather than through connectors. It hands the judgement calls to a language model. 19 steps, 2 branches, 1 loop or waits: a working afternoon to understand properly.

MediumCalls a model

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19 stepsMedium: a working afternoon
2Branches: places the flow splits
1Loop or waits
0Services by connector: it calls them over plain HTTP

The flow

Starts it 1Model 13Logic 5

The steps in the order they run, from what starts it.

  1. 1Schedule TriggerSchedule triggerStarts it
  2. 2Patient Data Intake AgentAgentModel
  3. 3Insurance Eligibility Verification AgentAgentModel
  4. 4Check EligibilityIfLogic
  5. 5Clinical Documentation Extraction AgentAgentModel
  6. 6Handle Ineligible PatientNo OpLogic
  7. 7Medical Coding AgentAgentModel
  8. 8Charge Capture AgentAgentModel
  9. 9Payer Rules Compliance AgentAgentModel
  10. 10Claim Creation AgentAgentModel
  11. 11Claim Submission AgentAgentModel
  12. 12Wait for ResponseWaitLogic
  13. 13Denial Detection & Analysis AgentAgentModel
  14. 14Check Denial StatusIfLogic
  15. 15Appeals & Correction AgentAgentModel
  16. 16Payment Posting AgentAgentModel
  17. 17Merge Appeal PathMergeLogic
  18. 18Patient Statement & Billing AgentAgentModel
  19. 19Revenue Cycle KPI Reporting AgentAgentModel

How it's built

Starts on
A clock
Steps
19, with 2 branches, 1 loop or waits
Size
Medium: a working afternoon
Connects to
Nothing by connector; it calls services over plain HTTP
Model
A language model, family not declared

Questions

What does it need to run?

An n8n account, and a key for a language model. You connect your own accounts after importing it; none are included.

What starts it?

It starts on a clock.

Does it use AI?

Yes. It calls a language model. Model calls are billed by the provider, not by n8n.

How long does it take to set up?

Plan an afternoon. 19 steps is enough that you should read each one before running it.

How do I import it?

Copy the workflow, open a new workflow in n8n and paste. The steps appear on the canvas, ready for your own accounts.

Before you run it

Nothing here has been tested by us. It is somebody's working automation, read and described from its own steps. Treat the connections it wants as a list of accounts it will touch, and read the 19 steps before you point it at anything that matters.