837 EDI Exports
Large claims processors and health care providers use EDI to exchange claim data between systems. When capturing claim data from paper forms with OCR, the extracted data needs to be imported into your claims processing system. Since these systems all support the 837 EDI file format, this is a convenient way to integrate OCR data capture with your claims process without having to build additional data imports.
837 EDI files come in three different flavors:
837-Ql / 837P / Professional Heath Care Claim (HCFA-1500 / CMS-1500)
837-Q2 / 837D / Dental Health Care Claim (J430 / ADA-2012)
837-Q3 / 837I / Institutional Health Care Claim (UB-04 / CMS-1450)
The insurance claims process can be complex and time consuming.
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Before a claim is submitted, a number of technical protocols and industry standards must be met for insurance claims to be delivered expediently and accurately between medical practice and payer. Our software makes it simple:
- Once imported (copied or scanned), the expedited claims capture process begins:
Once the form is scanned, our software uses Optical Character Recognition (OCR) to recognize machine
printed data from scanned images, as well as Intelligent Character Recognition (ICR) that can read hand printed data to electronically isolate and record information provided in the different fields, transferring and filling that information. This includes all information on the form, such as:
- Billing provider information
- Patient identification and information
- Services information
- Health plan information
- Insurance information
- Account information
- Billing charges
- Creation date
- Diagnosis codes
- Submission data
2. Our software checks for errors, then flags and prioritizes those errors.
Our software checks for errors, then flags and prioritizes those errors by low confidence fields for easy verification or correction. Low confidence areas are highlighted for fast review.
3. Edit or verify the recorded information.
You can review and edit all the data automatically recorded from the form.
4. Export and store your claim.
When verification is complete, all the data is automatically exported to your claims processing system and stored in a database.
Does your organization enter data from healthcare claim forms?
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All your claims processing in one easy-to-use, affordable application:
- Easily meet changing healthcare requirements
- Simple user experience
- Reduced data entry through better OCR/ICR/OMR solutions
- Quick collection of payment
- Increase accuracy, productivity, and profitability
- Reduce errors caused by manual data entry
- Eliminate slow, inaccurate manual processes