Claims automation software for automated medical claims processing

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WiseHEALTHCARE – a turnkey solution for automated healthcare claims processing (CMS-1500, CMS-1450, EOB etc.) incl. export into X12N 837 format!

Healthcare- and BPO (Business Processing Outsourcing) organizations encounter incredibly high workload and labor costs when trying healthcare claims processing manually, without having a proper claims automation software in place.

WiseTREND offers with WiseHEALTHCARE plugin for ABBYY FlexiCapture an easy-to-use medical claims processing software to automate healthcare claims processing and minimize time and effort required for manual data entry operations. WiseHEALTHCARE utilizes innovative AI- and data capture technologies and supports ootb. CMS-1500, CMS-1450, EOB and many others healthcare claim forms along with an export into X12N 837 format! We help bringing your operational efficiency while automated medical claims processing to a new level of excellence!

automated medical claims processing


WiseHEALTHCARE – medical claims automation software, is built as a customizable Add-On on top of ABBYY FlexiCapture – an enterprise Intelligent Document Processing (IDP) platform from leading AI- and OCR technology vendor: ABBYY WiseHEALTHCARE is tailored to healthcare claims processing requirements and contains great features and tools to set up an efficient and highly automated medical claims processing workflow!

How it works

medical claims processing software

For an effective healthcare claims processing, WiseHEALTHCARE addresses certain business requirements to an enterprise claims automation software, such as: Import from various sources, Classification by form type (CMS-1500, CMS-1450, EOB), powerful and flexible validation rules, automated conversion to X12N 837 format along with extensible export into Database, Sharepoint, RPA, ERP etc. The key benefits of using WiseHEALTHCARE as a medical claims processing software in automation and Data Capture projects:

  • WiseHEALTHCARE – claims automation software is available on-prem and Cloud and provides intuitive HTML5 and Desktop applications for scanning and verification purposes
  • WiseHEALTHCARE supports automated conversion into X12N 837 along with common formats such as: XML, CSV, JSON etc.
  • A direct export to RPA, MS Sharepoint, FTP, ODBC etc. along with a possibility to create custom exports using standard project administration tools of ABBYY FlexiCapture.
  • Import channels like E-Mail, Scanner, Hot-Folder, FTP, Web API etc. are available for integration into your medical claims processing software
  • Processing workflow is fully customizable and can be easily adapted to your healthcare claims processing requirements

Trial version

You can start evaluating WiseHEALTHCARE – claims automation software at no cost using a free trial! WiseTREND team of experienced healthcare claims processing specialists will assist with everything needed for your successful automated medical claims processing project using WiseHEALTHCARE!

Automate Data Processing Within Your Organization

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