# CLAIRE: A Schema-Grounded Hybrid Workflow for Healthcare Administrative Form Completion

arXiv: https://arxiv.org/abs/2609.32787 · HTML: https://mlsanity.com/paper/2609.32787/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 12 of its 33 references that are in the map.
- First posted on arXiv 26 Sep 2026.

## Builds on (most cited first, 12 of 12)

- [WebArena: A Realistic Web Environment for Building Autonomous Agents](https://mlsanity.com/paper/2307.13854/) (2023)
- [Mind2Web: Towards a Generalist Agent for the Web](https://mlsanity.com/paper/2306.06070/) (2023)
- [LayoutLM: Pre-training of Text and Layout for Document Image Understanding](https://mlsanity.com/paper/1912.13318/) (2019)
- [LayoutLMv3: Pre-training for Document AI with Unified Text and Image Masking](https://mlsanity.com/paper/2204.08387/) (2022)
- [WebVoyager: Building an End-to-End Web Agent with Large Multimodal Models](https://mlsanity.com/paper/2401.13919/) (2024)
- [WorkArena: How Capable Are Web Agents at Solving Common Knowledge Work Tasks?](https://mlsanity.com/paper/2403.07718/) (2024)
- [Agent-SafetyBench: Evaluating the Safety of LLM Agents](https://mlsanity.com/paper/2412.14470/) (2024)
- [FUTURE-AI: International consensus guideline for trustworthy and deployable artificial intelligence in healthcare](https://mlsanity.com/paper/2309.12325/) (2023)
- [HealthAdminBench: Evaluating Computer-Use Agents on Healthcare Administration Tasks](https://mlsanity.com/paper/2604.09937/) (2026)
- [FormFactory: An Interactive Benchmarking Suite for Multimodal Form-Filling Agents](https://mlsanity.com/paper/2506.01520/) (2025)
- [A Machine Learning Approach for Automated Filling of Categorical Fields in Data Entry Forms](https://mlsanity.com/paper/2202.08572/) (2022)
- [AI-Generated Prior Authorization Letters: Strong Clinical Content, Weak Administrative Scaffolding](https://mlsanity.com/paper/2603.29366/) (2026)

## Abstract (arXiv)

Healthcare administrative staff transfer structured information from electronic health records, referrals, claims systems, provider rosters, and work queues into dynamic forms. We developed and evaluated CLAIRE (Clinical Language and Agentic Intelligence for Reasoning and Entry), a hybrid workflow that separates field-state discovery, source-to-field mapping, deterministic validation, bounded correction, escalation, and audit tracing. We tested five synthetic healthcare administrative schemas, 1,000 source records, four interface variants, two data-quality suites, and six comparators, yielding 24,000 benchmark episodes. A separate strict-output audit evaluated direct mappings from Qwen2.5-1.5B and Qwen2.5-7B, and a trace-derived operational simulation covered 6,000 episodes. Under the evaluated synthetic benchmark conditions, full CLAIRE achieved 1.000 episode success, field accuracy, required-field completion, and dependency completion in both suites; removing validation reduced stress-suite success to 0.500. In the simulation, 100.0% of clean and validation-stress episodes reached a staff-reviewable draft, compared with 68.6% of escalation challenge episodes, unsupported cases were blocked. Scenario-based savings were 149.7-165.5 seconds per case, not observed staff times. The findings support schema-grounded, validation-first healthcare administrative automation in which language-model components assist mapping but do not authorize unsupported or consequential actions.