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ClaimAction

Take the pain out of processing medical claims

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ClaimAction provides a completely automated solution for medical processing, beginning with the most painful part of the process—extracting actionable data from claim documents, without manual data entry.

ClaimAction is pre-configured to capture every data field from HCFA-1500/CMS-500 medical claim forms as well as UB-04/UB-92 forms used by hospitals and other institutional healthcare providers. As a result, ALL critical data is extracted from paper or digital claim documents.

By leveraging your claim document images, extracted transaction data and your business rules, ClaimAction can automae your entire claims process, all the way to the creation of claim records in your back-end data systems--in a HIPAA-compliant 837 data format.

ClaimAction Take the pain out of processing medical claims - Artsyl

Batch scan your claim documents (no separators required)
ClaimAction allows users to batch scan paper medical claim documents, without the need for barcodes or cover sheet separators. ClaimAction automatically separate scanned documents, providing digital images of all paper source documents.

Extract data from paper docs or digital files
Whether you rely on scanned paper or digital source files, ClaimAction extracts actionable data from your documents.

To ensure accuracy, that data is validated based through database lookups/record comparisons, reconciliations and other validations based on your business rules.

Streamline medical claim approvals
With digital documents and actionable data, ClaimAction can route documents for coding and approval according to your business rules. Regardless of the complexity of your approval hierarchy, ClaimAction ensures that documents and data are routed to appropriate approvers.

Trigger Alerts to Eliminate Bottlenecks and Reduce Cycle Times
ClaimAction notifications ensure that every stakeholder in the process has visibility to documents that require their attention so that nothing slips through the cracks.

Create or Modify Transactions in your Back-end Systems
At the end of your approval process, ClaimAction allows you to create transactions in your back-end systems, while supporting a clear audit trail of all claim approvals.