Medical claims processing solutions
Digitize and automate key claims processing tasks to increase efficiency and profitability
Processing paper medical claims quickly shouldn’t come at a high cost.
Yet, they do, because paper-based medical claims take the most time to process, creating delays, opportunities for error and the risk of not meeting prompt payment laws.
There is a easier way to handle medical claims and attachments that are received by fax or mail. Simply scan the claims and attachments by optical character recognition (OCR) to OnBase, then Hyland Claim Validation streamlines staff work to prepare UB04s and CMS 1500s for your claims adjudication system.
- Improve first pass claims adjudication by automatically interrogating each claim field for compliance with both standard and custom rules. The point and click rules builder allows you to easily configure your own custom rules.
- Prioritize staff review and correction of claims with issues by date received, claim value and number of errors.
- Convert claims to an ANSI 837 with attachments noted for quick processing by integrating with your claims adjudication system