Claims Processing
Claim submission, coding validation, payer adjudication, denial management, payment posting, and patient statement generation.
BPMN 2.0 diagram being generated in Sanctum Flow
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8 Steps
Claim preparation from encounter data
Coding validation (ICD/CPT/HCPCS)
Claim submission to payer
Payer adjudication response
Denial review and appeal
Payment posting and reconciliation
Secondary claim submission if applicable
Patient statement generation
8
Process Steps
From trigger to completion
Healthcare
Category
Industry domain classification
OMG
Standard
BPMN 2.0 specification compliant
100%
Sovereign
Data stays on your infrastructure
This BPMN 2.0 process diagram was designed using Sanctum Flow's visual editor and generated by the Sanctum Flow BPMN converter — a sovereign process execution engine running on your own infrastructure. Every element conforms to the OMG BPMN 2.0 specification.
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