Medical claims capture automation solution from WiseTREND

by Ilya Evdokimov | Sep 08, 2019 | Uncategorized

Medical claims capture automation solution from WiseTREND

Medical claims capture automation solution from WiseTREND

Automating of the medical claims processing is a complex task that many companies connected with the healthcare industry face in one way or another. At WiseTREND, we have created the WiseCLAIM claims capture solution, based on our great experience in the business process automation and paperless productivity in order to provide business the best medical claims capture solution for the processing forms, such as UB-04 and CMS-1500. ABBYY FlexiCapture was chosen as the basis for the WiseCLAIM claims capture because it is one of the best solutions for optical character recognition (OCR) and data capture. ABBYY FlexiCapture incorporates the most advanced and intelligent technologies that exist in the field of data capture and paperless productivity.

Configuring data formats helps the OCR engine to be more accurate for claims capture

WiseCLAIM claims capture takes into account all the features of the structure of medical claims (UB-04, EOB, CMS-1500) in order to achieve maximum paperless productivity for medical claims capture. For example, we know that some fields of the CMS-1500 must contain a date or amount of money. WiseCLAIM claims capture plugin, using an understanding of the structure of medical claims, passes parameters to the OCR engine, allowing it to recognize and capture data as precisely and accurately as possible.

Dozens of business rules for maximum efficiency

Also, WiseTREND, creating a smart solution for capturing medical requests, has developed dozens of business rules to automate most checks of captured data, thereby helping the operator more accurately and quickly process medical claims and improving paperless productivity.

Export to ASC X12N 837P format

An important function required for medical claims capture is exporting captured data to the ASC X12N 837P format, which is the de jure and de facto standard format in this area of ​​Health care. This format allows health care professionals to share data in a way everyone understands it, thereby increasing paperless productivity in medical claims capture.

Flexible solution

Besides the fact that WiseCLAIM claims capture & ABBYY FlexiCapture solution ‘out of the box’ contains many functions that allow you to efficiently automate the processing of medical forms such as CMS-1500 and UB-04, WiseTREND experts can tailor this solution specifically for the business processes built in your company in order to maximize paperless productivity.

All of the above is just a short list of all the advantages that WiseCLAIM claims capture & ABBYY FlexiCapture has. If you are looking for a smart and effective solution for medical claims capture, then contact us and learn more about it.

Medical claims capture automation solution from WiseTREND