Inefficient Claims Processing Giving You a Headache? – Take Action

ClaimAction medical claim software is pre-configured to capture every data field from HCFA-1500/CMS-500 medical claim forms as well as UB-04/UB-92 forms used by hospitals and other institutional healthcare providers. As a result, ALL critical data is extracted from paper or digital claim documents.

By leveraging your claim document images, extracted transaction data and your business rules, ClaimAction can automate your entire claims process, all the way to the creation of claim records in your back-end data systems--in a HIPAA-compliant 837 data format.

Features

ClaimeAction Specifications

Robotic Process Automation Delivers Greater Flexibility, Scalablity and Ongoing Return on Investment

Artsyl’s ClaimAction takes advantage of robotic process automation and machine learning technologies in a way that allows partners and customers to quickly configure and implement an automated solution without requiring customized coding or extensive professional services. Delivering most of the required functionality out of the box as a pre-configured application, ClaimAction relies on RPA and self-learning capabilities of the docAlpha transformation platform to adapt as the system identifies errors and exceptions to be handled by a human operator. Any new input or directions received when addressing errors or exceptions are then added to the docAlpha knowledgebase, resulting in ongoing process improvement and performance over time. Most clients are able to achieve results in 90 days, with many realizing a return on investment in as little as 180 days. While results may vary depending on the complexity of the process, ClaimAction and other Artsyl ActionSuite solutions are designed from the ground up for flexibility and scalability, so that the software can adapt as business conditions evolve.