µç³µÎÞÂë

Software

Claims Automation

A state-of-the-art solution for payers and TPAs that want to outsource full or partial mailroom operations — including scanning, imaging and data capture — in order to streamline processes and focus on core business competencies.

Improve Accuracy and Productivity, Reduce Costs

  • Claims automation

    • Automates mail sorting and scanning processes with paper-to-EDI conversion, dramatically improving accuracy and productivity, while at the same time reducing expenses.
    • Blends mailroom functions with world-class scanning and imaging tools, drastically reducing manual intervention and human error at the earliest point of entry into payers' organizations.
    • Provides high-quality data and fewer pended claims due to data validation and editing tools that perform provider/member matching, eligibility verification and more. Data is verified, scrubbed and edited.
  • Electronic image repository

    • Makes real-time viewing and document retrieval fast and easy, as well as eliminates the need to maintain a paper claim inventory. Compatible with all claim types and attachments.
    • Features reliable sorting and scanning, easy image search functionality, as well as comprehensive customer reporting. Supports auto-adjudication.

Reduce Processing Costs

  • Reduce human errorÌýby using state-of-the-art mailroom operations and industry leading scanning and data capture technology.

  • Unite mailroom functions with world-class scanning and imaging tools, decreasing manual intervention at the earliest point of entry into payers’ organizations.
    Ìý
  • Automate mail sorting and scanning processesÌýwithÌýpaper-to-EDI conversion to dramatically improve accuracy and productivity, while at the same time reducing expenses.

  • Get high-quality dataÌýand fewer pended claims as the result of data validation and editing tools that perform provider/member matching, eligibility verification and more.

  • Retrieve documents fast and easy, as well as eliminate the need to maintain a paper claim inventory, with the µç³µÎÞÂë electronic image repository.

  • Improve accuracy and productivityÌýwith fewer full-time employees, while significantly reducing administrative costs and capital investment in technology and equipment.
Resources and Brochures
  • Fact Sheet
    Driving Success for Payers by Streamlining the Claims Process

    Managing paper claims is expensive, resource intensive, and it inhibits the adjudication process. The µç³µÎÞÂë Claims Automation solution helps increase efficiencies by capturing paper claim data and transferring it to an electronic format, streamlining the entire claims process.

Our outcomes

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