Speed and accuracy: processing high volumes of medical claims through process automation delivers higher levels of efficiency that does more than reduce costs.
For organizations that rely on manual processes, managing medical claim documents and data is labor-intensive and error-prone, injecting unnecessary risk into the process.
With ClaimAction from Artsyl, your organization can improve margins, minimize touch points and eliminate process bottlenecks with this claims processing software.
ClaimAction 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.
Accelerated Claims Processing
Intelligent capture technology drastically reduces manual data entry, boosting efficiency while reducing errors by validating data against claim records.
Empower Your Staff and Boost Service Levels
Empower your staff and take the pain out of the claims process by eliminating manual data entry and document handling. Automated workflow routing and monitoring allows your staff to focus on resolving exceptions and issues that require the highest levels of care and attention.
Improved Visibility and Control
ClaimAction puts claim information, including documents, data and workflow status at your fingertips, 24x7.
Maintain Clear Audit Trails & Support Compliance
ClaimAction keeps a complete audit trail of every touch point within the claim process, so users can monitor whether or not the proper checks and validations took place.
Automated Document Classification
Classification of multiple document types for separation and routing
Rules-based data validation
Automated Routing and Notification
Split batches and dynamically route invoices based on conditions set in the workflow.Configurable email notifications utilizing either POP3 or LotusNotes