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ClaimsScape Medical Claims Scanning and EDI Management System


The ClaimScape Scanning and EDI System allows automated scanning and processing of medical claims dramatically reducing data entry time for medical claims as well as allowing instant side by side access to claims images while processing claim in most any claims system.

This system features
  • Automated Scanning and Processing of HCFA 1500, CMS 1500 with NPI, and UB92 CLaims Forms.

  • High ,Speed Automated Review.

  • Automated Export of Claim Data ANSI 837 X12 or custom one button exports or claims and eligibility into Systems such as MC400 and ClaimScape.

  • Automated Verification against existing provider and eligibility databases.

  • Seamless Integration with DataGenix Document Imaging Systems with any Claim Processing Application.

The EDI Management Console is a SQL-server based visual management tool capable of exporting to standard formats such as 837. The EDI Manager also integrates with various claims processing systems including MC400 and ClaimScape Health Benefits System, logging all related exports and access. The Document Imaging System features One Touch Integration to most any claims systems providing automatic and instant access to related claims images and attachments.

Its high performance engine allows over Over 10,000 claims/day can be scanned and processed by a single part-time scanner operator. The system can be configured to scale to multiple scanners at remote locations to allow unlimited scalability of scanne claims . With an unlimited number of user having access to the Verifier /Management console, a large number of claims can be processed and reviewed where needed before data is sent to the claims processing system.

Using the latest in Optical Character recognition technologies, Very High Accuracy of 99% can be achieved with most all laser printed claims as well as those printed on 24-pin dot matrix printers.
 
 
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CLAIMSCAPE & DATAGENIX are Registered Trademarks of DataGenix , LLC