Medical claims processing with more speed and accuracy
IBM® Datacap Medical Claims software scans, extracts and validates data from CMS-1500 and UB-40 medical claims. This claims processing automation solution helps health insurance payers and third-party administrators eliminate labor-intensive manual data entry from paper claims. This document capture solution helps reduce costs, increase productivity, improve accuracy and speed processing time.
Datacap Taskmaster Medical Claims Capture offers:
- A thorough solution built especially for payers—this software is designed to capture 100 percent of the fields on CMS-1500 professional claims and UB-04 institutional claims.
- Demonstrated scalability—Datacap Taskmaster Medical Claims Capture is certified by the independent testing firm Doculab to handle more than 1,000,000 documents per day.
- Flexibility and extensibility—it easily adapts to dynamic business requirements with configurable rules.
A thorough solution built especially for payers
- Datacap Taskmaster Medical Claims Capture is preconfigured for medical claims.
- Standard validations include database lookups of member, provider, diagnosis and procedure codes.
- Standard data formatting delivers the 837 electronic data interchange (EDI) format that is fully compliant with the Health Insurance Portability and Accountability Act (HIPAA).
- Claims and attachments are indexed and ready for rapid storage and retrieval in IBM Enterprise Content Management (ECM) repositories or those of third-party vendors.
- Datacap Taskmaster Medical Claims Capture is designed to accurately process large volumes of document images.
- The software’s client-server architecture provides a robust platform for enterprise-level capture applications.
Flexibility and extensibility
- Built on the award-winning Datacap Taskmaster platform, this software uses the innovative Datacap Rulerunner Service procedural rules engine for its capture functionality.
- Datacap rules provide great flexibility over the capture process including image processing, recognition, validations and export formatting.
- The Datacap Rulerunner Service gives further flexibility and the ability to add document types and other departments to achieve true enterprise capture.
- You can add new capture applications using a simple point-and-click interface drawing from a library of hundreds of prebuilt rules.
- You can modify or create Datacap rules using standard Microsoft VBScript or .NET.
Datacap Taskmaster Medical Claims Capture resources