Claims Processing & Adjudication. A multi-agent production blueprint.
A 12-week multi-agent claims adjudication system. Two agents, two registries, one A2A v1.2 hand-off to ServiceNow. Full audit trail in Agent Registry. The healthcare practice's depth marker.
The outcome.
- What it does
Multi-agent adjudication with a clean ServiceNow hand-off.
The adjudicator reads policy, EOB rules, prior history; issues a decision with a structured reason code. Hands off to the ServiceNow case-management agent over A2A v1.2 the moment a human review is required.
- Who it serves
Payer ops, the case reviewers, the provider.
VP Claims Ops gets compressed adjudication on routine claims and a clean exception path. Reviewers get pre-drafted rationale and full context. Providers get faster, defensible decisions.
- Business KPI
Adjudication cycle time and audit defensibility.
Cycle time on routine claims compresses dramatically. The audit trail is regulator-grade by construction.
Components used.
HIPAA-eligible Google Cloud services only for PHI persistence: Cloud SQL, AlloyDB, Cloud Storage. Memory Bank holds non-PHI session context only.
ADK Python v1.32
Agent Development Kit. The agent ships as ADK code your team owns and deploys.
Model Armor
PHI redaction enforced at the gateway between data plane and any model call.
Agent Registry
Versioned audit trail of every decision, every hand-off, every reviewer action.
Cloud SQL · AlloyDB
HIPAA-eligible relational stores under your BAA. Region-pinned at deploy.
Cloud Storage
HIPAA-eligible object store for documents and attachments. CMEK-encrypted.
Memory Bank
Non-PHI session context only. PHI does not persist in Memory Bank.
IAM & Workload Identity
Per-agent service accounts. Scoped to the providers and stores the blueprint actually touches.
BigQuery
Audit retention exported under retention policy your compliance team controls.
Persona.
The CMO and clinical leadership care about patient safety and clinician trust first, throughput second. Every recommendation is review-first; the clinician signs.
The operations leader cares about cycle time and exception ratios. The blueprint routes the clean cases automatically and queues the borderline cases with the rationale pre-drafted.
The CIO cares about risk posture and architectural ownership. Deployment runs in your tenancy, on HIPAA-eligible Google Cloud services, under your BAA. You own the code, the data planes, and the audit.
Timeline. 12 weeks.
The 6-week pilot methodology, extended to 12 weeks for the additional compliance review and integration depth.
Talk to the healthcare practice.
Two business days to a named SE on the call. We sign a BAA before any engagement that touches PHI.