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document scanning - Claims Scanning

What is the ClaimScape Medical Claims Scanning and EDI Management System?
The ClaimScape Automated Claims Scanning system is the first of its kind to eliminate HCFA 1500 and UB92 medical claims data entry without the need for operator review and multiple software licenses.
ClaimScape can scan and process up to 10,000 claims per day with one part-time scanner operator and one Xeon PC. Training takes minutes and does not require multiple PCs or verifier licenses.

The EDI Management Console is a SQL-server based visual management tool capable of exporting to standard formats such as 837. The EDI Manager also integrates with various claims processing systems including MC400 and ClaimScape Health Benefits System, logging all related exports and access. The Document Imaging System features One Touch Integration to most any claims systems providing automatic and instant access to related claims images and attachments.

How Fast Is It?
Over 10,000 claims/day can be scanned and processed by a single part-time scanner operator.

How Accurate Is It?
Accuracy of 99.9% can be achieved with most all laser printed claims as well as those printed on 24-pin dot matrix printers. Accuracy of 97% can be achieved with claims printed on 8-pin dot matrix printers. Over 10,000 claims/day can be scanned and processed by a single part-time scanner operator.

Does the System Support More Than One Scanner at a Time?
Yes. Several scanners from remote locations can feed images into a single ClaimScape system all at the same time providing for even higher daily throughput of up to 20,000 claims.

Specifications and Requirements?

System Throughput 1600 claims per hour scanning, 1000 claims per hour claims processing and export to database
Standard Turn-Key Package
  • One high performance Xeon-based PC
  • SQL Server 2000
  • Kodak 2500D scanner, 40 pages per minute, 10,000 claims/day capacity
  • Cardiff Teleform RecoFlex OCR Engines, Datagenix IPP scripts and validations
  • Five Standard Reports:
    • Daily Batch Summary
    • Production By Hour
    • Data Review Quality Control Report
    • Monthly Summary Production By Day
    • Production By Provider
    • Duplicate claim filtering with automatic letter to provider
  • CPT and DX code data validations, updated quarterly
  • Standard interfacing to any ODBC database
Connectivity A local area network to allow database connectivity
Optional Features
  • Real time eligibility and provider validations
  • Customized reports
  • Automatic realtime routing of claims documents via email or fax by any criteria
  • Direct interfacing to claims and capitation systems
  • HCFA 1500 and UB92 image document management via LAN or the Web
 
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