Future Perfect Solutions

Automate CMS 1500 & UB04 Claims Processing

Our Solution of Capture™ for Medical Claims reduces data entry costs, improves data accuracy and accelerates claim verification turnaround time. Payers and third party administrators (TPA) of any size operate with the constant pressure of getting claim data off the paper CMS 1500 and UB forms and into financial management, document management and other back-end applications for processing. When speed, accuracy and cost are critical, our Solution of Capture™ for Medical Claims alleviates the pressure.

Dramatically Increase Productivity

Manually entering data from CMS-1500 and UB04 medical forms places an unnecessary cap on productivity that puts pressure on the rest of your downstream processes. Working with a scanned claim image, Solution of Capture automatically captures all the data you need from a claim form—quickly and accurately. Automating the claim data capture enables you to process up to 400 medical claims per person per hour.

Capture Claim Data Based on Specific Needs and Processes

Solution of Capture is a configurable solution to work with your specific business needs and processes. It automates the way you handle claim forms, correspondence and applications while increasing accuracy and ensuring government compliance.

Solution of Capture streamlines your operation and allows you to accomplish the following:

• Manage the sheer volume of claims including weekly spikes
• Prioritize claim batches before processing
• Reduce the cost of manual data entry staff and verifiers
• Ensure claims are eligible for processing before releasing them downstream
• Correct errors caused by manual data entry
• Validate claim totals
• Meeting processing deadlines and service level agreements
• Prevent processing duplicate claims

Dramatically Lower Costs and Accelerate Turnaround Time

Our Solution of Capture takes incoming claims from envelope to archive far faster than with manual processing—with the precision and care required of sensitive healthcare data. Claims are automatically routed to their appropriate location, and the solution handles exceptions, identifies errors and irregularities, and sends the claim to proper personnel for resolution. Our clients have experienced these results:

• Decreased operating costs by 65%
• Reduced duplication of effort by as much as 30%
• Reduced printing and mailing costs by 80%
• Increased overall productivity up to 100%

Key Benefits of Solution of Capture for Medical Claims:

1. Ensures accurate financial data with automatic claims balancing
2. Processes multi-page claims and attachments automatically
3. Verifies complex codes automatically
4. Processes even poorly printed forms accurately
5. Reduces processing costs meeting ROI and Payback requirements in months
6. Scales from 500 claims per day to 100,000
7. Allows custom sorting and queuing of exceptions
8. Routes and tracks claims and applications using your rules
9. Routes exceptions and irregularities to proper personnel for resolution
10. Integrates with leading databases, financial management and document management systems