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Medical claims processing solutions

Digitize and automate key claims processing tasks to increase efficiency and profitability

Healthcare Payer

When 80 percent of incoming medical claims are electronic, processing high volumes quickly shouldn’t come at a high cost.

Yet, it does, simply because the remaining 20 percent are paper-based and require the most time to process, creating both delays and opportunities for error.

With OnBase, insurers have:

  • Reduced costs of processing paper claims by 15 to 30 percent
  • Identified the ability to reduce data entry headcount by more than 50 percent

Manage medical claims better with OnBase

By integrating with your existing core claims applications, OnBase verifies policy status and coverage before automatically routing claims to an assigned adjudicator. With its advanced capture capabilities, OnBase:

  • Identifies and classifies claims forms, automatically noting any duplicate claims and extracting line item data from UB04s and CMS1500s
  • Converts the values to an XML data stream and sends it directly into your claims applications to create an EDI file
  • Eliminates costly data entry, improving process quality and reducing processing times