WorkflowGen’s fluid and frictionless integration features let the companies involved maintain their existing platforms and software infrastructures. An example of this type of use case is of medical billing and payment companies that act as intermediaries between hospitals and insurance providers.

1. How to use WorkflowGen as an
orchestration engine
Deep integration across multiple organizations
with a single WorkflowGen implementation

2. WorkflowGen’s versatility and flexibility enable it to
function not only within a single organization but also as
an orchestration engine that works in the background
coordinating, managing and streamlining processes
across multiple organizations with just one
implementation.

3. WorkflowGen’s fluid and frictionless integration features let
the companies involved maintain their existing platforms
and software infrastructures.

4. An example of this type of use case is of medical billing
and payment companies that act as intermediaries
between hospitals and insurance providers.

5. The three separate organizations and multiple participants
involved in this kind of process often experience problems
with their billing procedures and communications between
all of the parties.

6. Requests initiated and processed via emails sent back
and forth between hospitals, billing companies and
insurance providers can lead to delays of weeks between
initial hospital billing requests and eventual
reimbursements.

7. This kind of time-sensitive and financially critical situation
can easily get out of hand, thus requiring a solution to
facilitate and optimize all aspects of the billing and
reimbursement procedure, in particular to properly and
efficiently route requests while reducing processing time.

8. A central hub is needed to launch, modify and manage
requests, with a solid engine behind the scenes
performing automatic assignment of actions in the
workflow — all while maintaining the companies’ existing
platforms and technical infrastructures, if required.

9. WorkflowGen’s deep integration capabilities make this
type of transparent implementation possible.

11. In this kind of architecture, the various
applications already in place in the
three organizations can include:

12. Claims management systems (insurance company)

13. Custom applications that handle data such as types of
claims, medical procedure and facility codes, and claim
splitting and routing (billing company)

14. Accounts receivable software (hospital)

15. End-user portals (patients, hospitals, insurance providers)

16. Industry standard frameworks for transmitting claims data

17. Requirements

18. The ideal solution
would do the following:

19. Give any additional specialists required for particular
claims the ability to validate, authorize and complete
workflow actions.

20. Feature customized end-user portals, or interface with the
companies’ existing applications and platforms.

21. Allow process actors to easily escalate cases.

22. Facilitate communication between departments and
between companies.

23. Provide metrics to ensure tasks are being completed and,
when relevant, route the request to the next process actor,
whether internal or external.

24. Coordinate the queuing of tasks.

25. Ensure prompt and accurate payments to hospitals within
the required time frame and without hitches.

26. WorkflowGen has earned a solid reputation both as a
stand-alone application and as a behind-the-scenes
workflow engine that can be seamlessly integrated into
existing software infrastructures and drive any kind of
process.

27. WorkflowGen version 7 introduces a whole new way to
perform this kind of integration with the adoption of the
GraphQL API.

28. This cutting-edge technology provides even more flexibility
and configurability when it comes to integrations.

29. Technical Solutions

30. WorkflowGen’s deep and transparent integration
capabilities ensure that existing software infrastructures
and front-ends as developed by the companies can be
maintained.

31. Web applications can be built to enhance communication
between WorkflowGen and the companies’ own internal
software.

32. WorkflowGen can be implemented as an orchestration
engine to streamline and more effectively coordinate the
flow of requests and data.

33. Process actors who are still accustomed to using email
can continue to do so thanks to WorkflowGen’s Remote
Approval and email notifications features, and can still
leave comments at every stage of the workflow.

34. WorkflowGen’s Quick Mass Approval feature lets process
actors validate requests with one click or tap, all in one
place and on any device.

35. The new GraphQL API allows the creation of completely
customized end-user portals (instead of the standard
WorkflowGen portal) and can greatly simplify configuring
the retrieval of process data that can then be displayed in
the front-end interface.

36. Benefits

37. By implementing WorkflowGen, companies can accelerate
value delivery with a shorter time-to-market and improved
operational agility, while leveraging existing skills and
solutions and providing enhanced customer experience.

38. The behind-the-scenes integration of WorkflowGen allows
existing applications, platforms and architectures to be
maintained, eliminating any learning curve for process
actors, with no disruption to day-to-day operations.

39. End-users in the separate organizations involved in billing
and reimbursement processes can continue using their
familiar interfaces within established software
infrastructures while WorkflowGen acts as an engine in
the background, with no need for major overhauls or
migrations to other environments.

40. Queuing and automatic assignment of actions dramatically
reduce processing time while eliminating back-and-forth
emails, which increases team efficiency.

41. Workflow actions such as approvals or request
modifications can be performed remotely on any device,
reducing delays in claims due to process actors being out
of the office.

42. Communication and coordination between departments is
greatly enhanced.

43. Errors in medical billing codes can be quickly flagged and
corrected without disruption to the processing that could
otherwise delay reimbursements or incorrectly deny
claims.

44. The GraphQL API and other integration features such as
webhooks enable operational agility going forward,
allowing the rapid implementation of higher levels of
customization and more intricate data manipulation.

45. Prompt and accurate reimbursements performed via a
rigorous and battle-tested workflow engine, as well as an
audit trail, reinforce the financial integrity of the parties
involved.

46. Improved customer and user experience.

47. Greater satisfaction and confidence of hospitals and their
patients, the two end-points of the entire request.

48. About WorkflowGen
• Build process-driven business apps with low-code / no-code workflow automation
• Automate any type of human and system-based enterprise process
• Customize and integrate your workflow apps to fit your environment
• Use the FREE version (download or Docker) of WorkflowGen for unlimited users.
Then subscribe and pay only for the process administrators while benefiting from
unlimited end-users, processes, instances, features, support and upgrades
• Organizations worldwide use WorkflowGen since 2003

49. Automate any enterprise processes
• IT (account creation, helpdesk, IT change, etc.)
• Human Resources (staffing requisition, employee onboarding, employee evaluation, etc.)
• Finance (investment application, CAPEX, procurement request, etc.)
• Operations (product life cycle, product creation/modification, feasibility study, etc.)
• Quality (ECN, corrective actions, risk management, compliance, customer claims, etc.)
• Marketing (campaign management, sales materials validation, etc.)
• Legal (Contract validation, new client intake, etc.)

50. Examples of real-life implementations
• Fleet management for a major group of container shipping companies
• Post-production management of blockbuster movies for an international media
company
• Directorship management for one of the largest global industrial groups
• Global clinical survey implementation processes for a global leader in market
research
• Air mission management for a Ministry of Defense
• Artist contract management for a major music label
• Management of international mobility of employees of Fortune 500 companies

51. Some WorkflowGen Clients
Read customers’ reviews

52. Start automating your
processes today!
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