Perform your claims processing faster, with less errors and effort using OCR.
Once the form is scanned, our software:
Electronically isolates and records information provided in the different fields
Transfers and fills that information
Checks for errors and flags those errors for easy verification.
Automatically generates the proper organization and format of the form to meet requirements
Accurately submits and stores your claim
By expediting claim processing and increasing accuracy,
you can decrease the overall time it takes to process claims to ensure faster payments.
The open architecture and technology allow for flexibility
to customize and enhance system operations to specifically fit your organization’s unique requirements and easily meet changing healthcare industry standards.
In coordination with our team of experienced professionals,
we can provide the critical expertise and effective ongoing support that you need to succeed in the ever-changing healthcare industry.
Other functions and benefits include:
Index forms for instant searching and viewing
Reduce the risk of combining redundant member information
Customized to specifically fit your company’s requirements
Improve exception handling
Maintains both professional and institutional claim types with all required information
Increase accuracy, productivity, and profitability
Predefined templates for fast implementation
The forms CMS 1500 (formerly HCFA 1500) and UB-04 are the most common medical forms used to submit a claim. The form CMS 1500 is the universal claim form used by non-institutional healthcare providers, such as private practices, to bill specific covered services. The form UB-04 is very similar to the CMS 1500, but it is used by institutional healthcare providers, such as hospitals, to submit claims. J430 Dental Claims Form is a form Every dentist should be using the 2012 version of the ADA Dental Claim Form to avoid delayed payment and claims processing problems. A number of technical protocols and industry standards must be met for insurance claims to be delivered expediently and accurately between medical practice and payer.
The insurance claims process presents a big data entry challenge.
Data from these forms must be entered into a claims processing system. This is an expensive, labor-intensive task that is also prone to transcription errors. Optical Character Recognition (OCR) software can be used to automate the data entry by converting the scanned forms into machine-readable text, while improving accuracy with data validation checks.
The CMS 1500 (formerly HCFA 1500) is the standard paper claim medical form used by non-institutional healthcare providers, such as private practices, to submit a claim for billing Medicare Fee-For-Service (FFS) Contractors for Part B covered services and some Medicaid-covered services. The CMS 1500 is sometimes also suitable for billing various government and some private insurers and is accepted by most health insurance providers. The CMS 1500 has been updated to include National Provider Identifiers (NPIs), or unique numbers required by HIPAA and contains all the basic information needed to submit an accurate claim. Before a claim is submitted, a number of technical protocols and industry standards must be met for insurance claims to be delivered expediently and accurately between medical practice and payer.
The UB-04 form, also known as the form CMS-1450, is the uniform institutional provider hard copy claim form for billing multiple third party payers. Form UB-04 is very similar to the CMS-1500, but it is used by institutional healthcare providers like hospitals. The UB-04 is used in place of electronic claims as approved by the ASCA. The UB-04 is standardized and contains all the basic information needed to submit an accurate claim, although not all payers require the same data elements as required by Medicare.
The ADA Dental Claim Form has been revised to incorporate key changes to the HIPAA standard electronic dental claim transaction. Changes to the form include the reporting of diagnosis codes and diagnosis code pointers, place of service codes, and other medical and dental coverage. Every dentist should be using the 2012 version of the ADA Dental Claim Form to avoid delayed payment and claims processing problems.
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