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Compliance & Credentialing

Zero compliance gaps.

From provider credentialing to contract terms. Every credential, claim, and clause — verified automatically.

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Zero compliance gaps.
Three agents. Always on.

From credentialing to contract terms — every agent, every check.

Agent 01
Provider Credentialing

Dr. Patel's DEA registration expires in 11 days. Nobody flagged it. Provider Credentialing flagged it — at 90 days, 60 days, and today. Renewal document queued. Audit log updated. No compliance gap.

app.quickflows.ai / provider-credentialing

Credential Tracker

24 providers · 3 expiring soon · 1 expired

20

Current

3

Expiring

1

Expired

2

Pending

ProviderCredentialExpiresStatus
Dr. PatelMD LicenseApr 15 ⚠CURRENT
Dr. KimDEA NumberApr 20 ⚠EXPIRING
Dr. TorresMD LicenseMar 31 ✗EXPIRED
Dr. ChenBoard CertSep 12CURRENT
Dr. WatsonMD LicenseNov 5CURRENT

Renewal reminder sent to Dr. Patel — 10 days remaining

Agent 02
Claims Compliance

Claim 4892: modifier conflict on CPT 99213. Claims Compliance flagged it before submission. Corrected and resubmitted in 4 minutes. No denial. No revenue lost.

app.quickflows.ai / claims-compliance

Claims Compliance

Pre-submission check · Claim 4892

Claim #4892

Margaret T. · Medicaid · Mar 26

CHECKING

CPT Code

99213

Modifier

25

Amount

$760.00

Rule Check

HCPCS Code PASS
Diagnosis Code PASS
Modifier 25 PASS
Documentation PASS
Payer NPI PASS

Modifier conflict auto-corrected — claim ready for submission

Agent 03
Contract Compliance

Bellmore's invoice matches the PO. But clause 3b requires a 5% volume discount on orders over $5,000. Contract Compliance flagged $420 in revenue leakage before payment cleared. Dispute filed automatically.

app.quickflows.ai / contract-compliance

Contract Compliance Check

Bellmore Group · Services Agreement 2024

1 VIOLATION
ClauseRuleStatus
Net 30 payment terms≤ 30 daysPASS
Volume discount (>$5k)−5%PASS

Discount not applied on INV-082. $420 revenue leakage detected.

Dispute
Late fee cap after 30d≤ 15%PASS
Service-level walk-backPremiumPASS

4 of 4 clauses validated. Invoice cleared for payment.

All agents. Running around the clock.

While your compliance team focuses on exceptions.