Automating Health Claims Processing
Are you interested in reducing the cost of manually entering HCFAs
and UBs, while at the same time improving data quality?
Situation
Most organizations find it difficult to completely and accurately
process the mountain of HCFAs and UBs that arrive each day. Many times
the manual data entry system cannot handle a spike in claims. In
addition, an increase in business results in a corresponding increase in
headcount or overtime or both. The cost of hiring and training new
employees squeezes margins and puts a drag on team productivity.
Finally, you have to abide by the original service level agreement
that stipulates a 24-48 hour turnaround time or pay the penalties for
non-compliance.
Vision
- A solution that scales with growth and does not require hiring
new employees each time a new account is awarded
- A solution that accurately processes claims regardless of volume
- A solution that increases productivity and reduces costs
- A solution that is easily learned
Solution
Future Perfect Solutions uses the industry’s leading claims data
capture tool: AnyDoc™CLAIM™ from AnyDoc Software, Inc.
AnyDocCLAIM achieves the fastest documented speed in the industry for
processing HCFA, UB and other medical claims.
AnyDocCLAIM’s high speed performance is due to its ability to
- Perform Database and Table Lookups
- Apply Edit Masks and Business Rules to the selected data
- Display Only the Questionable Characters that Require Validation
or Correction
Imagine only keying between 1 to 5 characters per HCFA instead of
every field!
Our automated solution is flexible and easily integrates with your
existing pricing or claims systems. The data can update many of the
leading databases such as Oracle, SQL Server, Universe, DB2 or any
database that is ODBC compliant. Or if you prefer, we can create a
simple text file, or and EDI formatted file.
Results
65% Decrease in Cost
100% Increase in Productivity |
