Reconcile insurance EOBs against provider bills every week

A user set Claude Cowork to reconcile insurer EOBs, provider invoices and reimbursements and found over $8,000 in insurer errors.

Difficulty
IntermediateOur rating
Time to build
Not reportedOur estimate
Monthly cost
Not reported
Revenue
Not reportedWe only show revenue the source states
Engagement
No public countThe source shows no number

What they did

Claude works from a connected folder and an Excel tracker on a weekly schedule, flagging pending, denied, underpaid and missing items.

How it went

They report $8,000+ in errors found and appeals filed. The user submits claims themselves.

Worth knowing

Keep the human submitting claims.

Builder recipe

Our own starting point, written from the source. Adapt it to your setup.

Stack

  • Claude Cowork
  • A folder of EOBs and invoices
  • Excel tracker

Steps

  1. Gather your documents or preferences.
  2. Ask the agent to explain and organize, not diagnose.
  3. Take its questions and summaries to a professional.
  4. Keep sensitive data private.

Starter prompt

Every Monday, match each provider invoice in this folder to an EOB, update the tracker, and list anything denied, underpaid or missing an EOB.

Tags

Agent Claude
Tool Excel
Role Patient
Industry Health Insurance

Read the original

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