Overview of the Health Claims Accelerator

Many health insurance providers regularly extract data from CMS-1500, UB-04, and Dental Claim (ADA) documents. However, managing this process manually is extremely time-consuming and comes with a substantial risk of human error.

Good news: There’s an efficient, accurate way to streamline this process. The Health Claims Accelerator Solution, powered by ABBYY Vantage, is your all-in-one solution for automating the extraction of data from healthcare claim documents. It also comes with the added capability of exporting data in EDI 837 format.

How the Health Claims Accelerator Works in 4 Steps

In just four steps, this solution can easily classify, extract, and export health claim data in EDI 837, facilitating smooth communication with payers, providers, and healthcare systems. Here’s how it works:

  1.  Upload Your Claims 
    Simply upload your CMS-1500, UB-04, or Dental Claim (ADA) documents to the web-based system, which will automatically recognize the document type.
  2. Data Extraction
    The ABBYY solution uses advanced OCR (Optical Character Recognition) and AI algorithms to extract data accurately from the documents.
  3. Data Validation
    The extracted data undergoes rigorous validation to ensure accuracy and compliance with industry standards.
  4. Export
    Export your data in EDI 837 or integrate it directly with your existing healthcare management systems.

 

A diagram laying out the Health Claims Accelerator: Step 1: You input an email or shared file. Step 2: OCR technology classifies the document as CMS1500, UB04, or ADA. Step 3: It extracts data and validates against NPI and other data. Step 4: Straight-through processing happens, and if there's anything to be concerned about, a human is notified to look into the situation.

 

Benefits of Health Claims Accelerator

The ABBYY solution automates the extraction process, significantly reducing the time it takes to process claims. This way, you can say goodbye to time-consuming manual data entry.

Human error is eliminated by advanced data extraction algorithms, ensuring that your claims data is always precise and reliable. The system can recognize and process CMS-1500, UB-04, and Dental Claim (ADA) documents automatically, ensuring accurate data extraction. Naviant Health Claims Accelerator also validates extracted data to identify any potential errors or inconsistencies, minimizing the risk of claim rejections.

This solution can be tailored to your organization’s specific needs through customizable data extraction rules and export formats.

Naviant Health Claims Accelerator prioritizes the security of your sensitive healthcare data. It’s designed with robust encryption and access controls to protect your information.

This enterprise claims processing solution supports a wide range of healthcare claim documents, including CMS-1500, UB-04, and Dental Claim (ADA) documents, making it a versatile solution for your needs.

Seamlessly export your extracted data in EDI 837, allowing for easy integration with various healthcare systems and partners.

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Experience the Future of Claims Processing with the Naviant Health Claims Accelerator

Save time, reduce errors, and improve your claims processing efficiency with this enterprise system. Contract us today to see how we can help you revolutionize your health claims workflow.
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