The CMS 1500 (formerly HCFA 1500) is the standard paper claim medical form used by non-institutional healthcare providers, such as private practices, to submit a claim for billing Medicare Fee-For-Service (FFS) Contractors for Part B covered services and some Medicaid-covered services. The CMS 1500 is sometimes also suitable for billing various government and some private insurers and is accepted by most health insurance providers. The CMS 1500 has been updated to include National Provider Identifiers (NPIs), or unique numbers required by HIPAA and contains all the basic information needed to submit an accurate claim. 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.
Perform all of your claims processing faster, with less errors and less effort in one easy-to-use, affordable application.
The cutting-edge technology of our software
streamlines the processing of healthcare claims to offer the leading innovative data management solution.
Once the form is imported (copied or scanned) into our system, recognition 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:
Each line of the services provided
Injury related dates
Streamline operations for the processing of healthcare claims using our automated processing system.
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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. The proper organization and format of the form is automatically generated using a set of standards to meet the requirements mandated by the HIPAA Transactions and Code Set Rule (TCS) to allow for accurate claim submissions.
5.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?
You can benefit from our advanced automated processing system with its superior service-oriented architecture:
Savings in time and labor
Less errors caused by manual data entry
Expedite claim processing and collection of payment
Eliminate slow, inaccurate manual processes
Easily meet changing healthcare industry standards
Increase accuracy, productivity, and profitability
HICFA FORMS PROCESSING
Discover how quickly and easily you can scan, index, and sort claims forms. Our predefined templates eliminate the extra headaches of data capture.