Abstract: A provider computing system includes a claims database storing claim statements for a plurality of claims, the claim statements including a plurality of claim variable, an orchestration circuit storing computer-executable instructions embodying one or more machine learning models, at least one processor, and at least one memory, the at least one memory storing instructions that, when executed by the at least one processor, cause the at least one processor to perform operations. The operations include receive a first claim statement corresponding to a new claim; cause, by the orchestration circuit, the one or more machine learning models to parse the first claim statement; determine a first claim variable from the first claim statement; generate, by the orchestration circuit, a response including a request for a second claim statement; and transmit the request for a second claim statement.

Abstract: An agent interaction apparatus, systems, and methods include obtaining streaming interaction data contemporaneously generated from an interaction with a user; determining, with a large language model, an intent expressed in the streaming interaction data; generating a prompt comprising one or more inquiries based on the intent expressed in the streaming interaction data; generating, from the streaming interaction data fed into the large language model and directed by the prompt, text corresponding to one or more responses from the user to the one or more inquiries; generating, with the large language model, at least one guidance request based on an absence of a response to, a need for clarification of, or supplemental information to request for at least one of the one or more inquiries based on the one or more responses from the user; and outputting the at least one guidance request within a guidance section of an interface.

Abstract: A provider computing system includes a claims database storing claim statements for a plurality of claims, the claim statements including a plurality of claim variable, an orchestration circuit storing computer-executable instructions embodying one or more machine learning models, at least one processor, and at least one memory, the at least one memory storing instructions that, when executed by the at least one processor, cause the at least one processor to perform operations. The operations include receive a first claim statement corresponding to a new claim; cause, by the orchestration circuit, the one or more machine learning models to parse the first claim statement; determine a first claim variable from the first claim statement; generate, by the orchestration circuit, a response including a request for a second claim statement; and transmit the request for a second claim statement.