Cookiebot-Enhanced Experience: The Ultimate Personalization Tool

Back to ABBYY Blog

Three companies share how intelligent capture transformed their claims processing

Bruce Orcutt

August 29, 2017

Despite the prevailing electronic exchange of information between healthcare payers and providers, a big portion of medical claims are still issued on paper and fax. Three forward-thinking companies took action. Using ABBYY FlexiCapture, they digitally transformed their claims processes to improve efficiencies in three common claims scenarios: paper, fax and EDI.

Vision benefits provider eliminates paper

Community Eye Care (CEC) is an organization that struggled with manually processing HCFA 1500 sheets. CEC administers vision benefits for employers’ associations and health plans. Among the 150,000 HCFA 1500 forms it processed every year, 56,000 were paper. Processing the paper forms required four people conducting tedious and error-prone manual input. CEC deployed ABBYY FlexiCapture to automate the process and for its superior OCR recognition and verification capabilities.

“We’ve seen nothing but great results,” commented said Amy Eatmon, COO/Director of IT, Community Eye Care. “We’re able to keep our prices down, simply because we’ve become so much more efficient. The software has increased our productivity as well as employee satisfaction and has eliminated the need to bring on additional staff.”

Corporate wellness provider transforms data from faxed forms

ADURO is a wellness platform provider that includes biometric testing and requires the manual processing of physician fax forms. Biometric testing measures markers such as body mass index, blood pressure, cholesterol levels and glucose levels. The process begins when employees provide their physicians with a form. Each form is tailored to its client and features a combination of bubbles and handwritten notes. When completed by a physician, it is faxed to ADURO for processing.

“It’s vital to get that information into our database so employees can get on with their programs, get their awards and work with their coaches,” says Dr. Mark Thompson, co-founder and Salesforce Administrator at ADURO. “We had to reclaim lost efficiency and maintain excellent service for clients’ employees.”

ABBYY FlexiCapture not only automated the pulling of data from the forms, but also transformed the workflow: incoming faxes are now routed to a HIPAA compliant online fax service that automatically assigns them to the appropriate customer folder on a server. From there, the physician fax forms are loaded on to workstations, then software recognizes and captures the forms’ data. Within the first three months, ADURO was able to successfully process 5,000 physician fax forms. One person is able to process up to four times as many documents than before.

Podiatry plan achieves compliance with EDI claims submission

Podiatry Plan , a provider of podiatry medicine for Labor-Employer Trust Funds (ERISA), provides routine foot care for Medicare beneficiaries. It had an urgent need to digitize CMS-1500 forms fast.

“Essentially,” says Annie Scherer, Office Manager at Podiatry Plan, “We were told that CMS-1500 claim forms would need to be submitted via EDI instead of fax – and that only two months were available to make the transition.”

Implementation was only two weeks. Today, Podiatry Plan processes claims for a very large number of the Medicare Healthcare Plan’s beneficiaries and receives several hundred claims every month using intelligent capture that automates and streamlines the process workflow.Click to learn more .

Healthcare Intelligent Document Processing (IDP)

Bruce Orcutt

Senior Vice President of Product Marketing at ABBYY

Bruce Orcutt is a veteran Product Marketing and Product Management professional with over 20 years’ experience in Enterprise Software. Bruce drives global product marketing for ABBYY’s intelligent automation solutions that create business value for organizations. His go-to-market strategies accelerate the adoption of ABBYY solutions worldwide.

Connect with Bruce on LinkedIn .

Like, share or repost

Share

Subscribe for blog updates

First name*

E-mail*

Сountry*

СountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo, (Kinshasa)Cook IslandsCosta RicaCroatiaCuraçaoCyprusCzech RepublicCôte d’IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and Mcdonald IslandsHoly See (Vatican City State)HondurasHong Kong, SAR ChinaHungaryIcelandIndiaIndonesiaIraqIrelandIsle of ManIsraelITJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (South)KuwaitKyrgyzstanLao PDRLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao, SAR ChinaMacedonia, Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRwandaRéunionSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and GrenadinesSaint-BarthélemySaint-Martin (French part)SamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSurinameSvalbard and Jan Mayen IslandsSwazilandSwedenSwitzerlandTaiwan, Republic of ChinaTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuela (Bolivarian Republic)Viet NamVirgin Islands, USWallis and Futuna IslandsWestern SaharaZambiaZimbabwe

• I have read and agree with the Privacy policy and the Cookie policy .

• I agree to receive email updates from ABBYY Solutions Ltd. such as news related to ABBYY Solutions Ltd. products and technologies, invitations to events and webinars, and information about whitepapers and content related to ABBYY Solutions Ltd. products and services.

I am aware that my consent could be revoked at any time by clicking the unsubscribe link inside any email received from ABBYY Solutions Ltd. or via ABBYY Data Subject Access Rights Form .

Referrer

Last name

Query string

Product Interest Temp

UTM Campaign Name

UTM Medium

UTM Source

ITM Source

GA Client ID

UTM Content

GDPR Consent Note

Captcha Score

Page URL

Connect with us

Also read: