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Phone: +91-794-体育OB

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Claims Processing, Healthcare Forms Conversion for US Based Medical Billing Firm – Ongoing Project Banner

Client Profile

Medical billing & follow up service provider, USA
Industry: Health Care

Objective .

Setting up a process to interpret and enter data from claim form (UB-04 (CMS 1450) – HCFA 1490s – CMS (1500) – ADA Dental) in PDF format to a web based application.

The Challenges .

  • Client was operating form a number of autonomous regions, with more than 10,000 healthcare professionals working across more than 12 hospitals and 200 plus primary care centers.
  • Every individual; handling multitude of functions; but everything on paper.
  • In house process was going to prove very costly, slow and inefficient, with ultimate result in form of inefficient processes and less-than-optimal claims processing.
  • Knowledge transfer to in house team, to be at par with existing medical billing industry standards.
  • Ensuring smooth transition with bare minimum interruptions.
  • Bringing down the error rate considerably while maintaining optimum productivity levels.
  • Managing all above well within industry specific turnaround time.
Claims Processing

The Solution .

Ongoing process of handling 10,000 plus claim forms every month, using double keying methodology, ensuring high quality output.

Benefits .

Value Addition .

Keeping up with ever evolving technological demands, of our clients and for our clients, we consistently upgrade our systems, processes and skills of our employees; to ensure that our Online Data Entry solutions are the ones with latest technological adoptions to assist our clients to stay competitive.

Technology / Software

After comprehending client requirements, it was concluded that a web based application, would be used for interpreting & entering data from PDF forms.

Hi-Tech’s Solution .

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