Capture Resource offers a solution to one of the healthcare insurance industry’s greatest challenges – claims processing. We use multiple capture options to extract and deliver accurate claims data while providing a retrievable indexed image of the claims form. This solution reduces costs, increases quality, accelerates turnaround, and results in improved auto-adjudication rates.
Features:
- Mail collection, high-speed mail opening, extraction, and batching
- Image capture or receipt of client images
- Integrated image and data capture
- Multiple capture options: bar code, OCR, ICR, and KFI
- Client choice of domestic or offshore processing
- Key From Paper when required
- Client-specific logical editing and validation of data
- ICD, CPT and ADA code editing
- Line charge balancing
- Secure data transfer of claims information in client-specific formats
- Infrastructure supporting HIPAA regulations
- HIPAA compliant output formats
Additional Services:
- Scanning and indexing medical records
- Capturing Medicare D enrollments and requests for information
Benefits:
- Improved payment quality through data validation
- Increased auto adjudication rates
- Provider and member satisfaction through timely processing
- Lowered costs by eliminating multiple claim submissions
- Access to OCR, ICR, Key From Image and Paper from a single source
- Access to offshore labor costs, with validation by domestic workforce
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