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Capture Solutions: Anydoc

CLAIMit 
Automate your Healthcare Forms Processing and reduce your manual data entry...

Automatically Process Healthcare Forms with AnyDoc™CLAIM™

Looking for a solutions to eliminate manual data entry from the thousands of pages of health claims (HCFA 1500, UB92, Dental Claims) that hit your company each day? Looking for a fast, inexpensive and accurate solution? Look no further than AnyDoc Software’s AnyDoc™CLAIM™.

Health claims processing poses special challenges. In no industry is the collection of documents and data more critical; nowhere is it more difficult and nowhere is it more expensive.

With AnyDocCLAIM, you are able to feed your adjudication system with accurate information and turn your claims around within hours instead of days, saving you both time and money.

Benefits associated with processing healthcare forms using AnyDocCLAIM:

  • Improves Data Accuracy
  • Balances Data
  • Improves Print Quality
  • Identifies Claims/Handles Multiple Page Forms And Those With Attachments
  • Facilitates Processing Flow
  • National Standard Format (NSF) Files
  • Configurable ASCII Output

Like all of AnyDoc Software’s complete solutions, AnyDocCLAIM includes software for scanning (CAPTUREit™), data capture (OCR for AnyDoc™) and electronic storage and retreival (BROKERit™).

Improve Data Accuracy

Business rules ensure your data meets a pre-defined format so the information can be easily imported into your adjudication system. With VBScript, you can apply your own specific rules to increase your data accuracy.

  • Verify and correct addresses according to U.S. Postal Service guidelines
  • Ensure dates are valid, then convert them to a database-friendly format
  • Validate the patient, provider number and location, place of service, type of service and physician ID
  • Look up the physician ID number, translating it into the doctor's name
  • Validate Diagnostic and CPT codes
  • Validate dates, making sure they are within the range of insurance coverage
  • Check if this is a secondary claim (COB), and what is the amount paid
Balances Data
  • Use equations to verify total charge, amount paid and balance due. A balanced equation can bypass verification, significantly reducing correction time and effort.

Improves Print Quality

  • AnyDocCLAIM uses image enhancement to reconstruct lightly printed or poorly constructed characters and enhance them for accurate recognition. Useful for characters that are commonly broken, lightly scanned or otherwise poorly printed.

Identifies Claims/Handles Multiple Page Forms And Those With Attachments

  • AnyDocCLAIM has functionality to handle a variety of claims, including HCFA 1500s, UB92s or Dental Claims. It can even handle multiple page claims and those with attachments.
  • AnyDocCLAIM can perform automatic form identification based on the individual topology of the form. You also have the ability to supply patch or bar codes to differentiate batches of forms, or you can define an area on the form for specific form identification.
  • AnyDocCLAIM can even identify document sets and multi-page images. When a document contains both forms and attachments, which is common with HCFAs, AnyDocCLAIM saves all attachments with the corresponding claim.
  • Red drop-out forms can be processed in color to allow for easier data correction. You are able to toggle between color and bi-tonal images with a click of the mouse.
Facilitate Processing Flow
  • When claims' origination points differ, AnyDocCLAIM is able to assign different processing rules to different groups of claims.
  • Assign work based on specific tasks as well as the type of form.
  • Route form types to different verification operators having expertise for specific claim types.
  • Assign work to on-site or remote operators.
  • Control the prioritization of the groups of forms being processed.

National Standard Format (NSF) Files

  • AnyDocCLAIM creates National Standard Format (NSF) files from captured HCFA information--without any need for expensive custom coding.

Configurable ASCII Output

  • AnyDocCLAIM provides configurable ASCII output that can be transferred to a NSF format, as well as various document-imaging systems to fit your environment.




Put our imagination, experience, and expertise to work for you. Discover our excellence in  Bringing your files down to size.SM   Learn more about how forward thinking organizations are keeping ahead of their competition.  Contact us for more information.


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