Healthcare Payers >
Data Capture and
Claims Conversion
Episource’s paper
claims conversion services allows claims
administrators at different Payer
Organizations to dramatically cut costs,
improve accuracy and virtually eliminate
compliance issues associated with the
claims adjudication process.
Using our own sophisticated data entry
tools and processes and advanced
document imaging technologies, Episource
can quickly and accurately extract the
contents of hard copy claim forms,
delivering a complete EDI transaction
for upload into claim adjudication
systems. Our own proprietary Software –
Epitracker – is a rules-based document
capture and imaging software that helps
improves scanning, data entry, indexing
and routing and improves workflow
efficiency and document tracking.
Epitracker’s high-volume imaging and
transaction/forms processing
capabilities can be used to data capture
from any form, claim or report document.
Episource also provides a full image
archive, giving a complete digital
record of all claims and attachment
documents. Our web-based “Image Viewer”
allows secure access to document images
from any desktop in the enterprise or by
trading partners.
Key Conversion
Services Offered:
• Scanning and Mail-room Operations
• HCFA-1500 and UB-04 Paper Claims into
a standard EDI Stream (NSF 2.0 or ANSI
837)
• Superbills to a standard EDI Stream
(NSF 2.0 or ANSI 837)
Episource offers a new Payer service
offering in the Healthcare Industry,
whereby we convert Provider Superbills
into EDI formats that are integrated
with payer claims adjudications systems.
This unique solution eases the burden on
Providers to submit encounter data to
MSOs, Health Plans, and IPAs and
provides Payers with the ability to
adjudicate consistent and increased
encounter data in order to capture
additional details such as diagnosis
codes that have a significant impact in
the Managed Care Industry. All encounter
data from Superbill conversion can be
viewed and accessed through a secure Web
Image Viewer that generates a HCFA-1500
or UB-04 Image “on the fly” with all
claim data filled in.
Benefits
• Eliminate
handling of Paper Claims
• Reduce Paper Claims Processing Costs
by 40-60%
• Search, and Retrieve Paper Claims and
Superbill Data on the Web
• Improved accuracy of Paper Claims
Adjudication
• Faster turnaround times for processing
• Access to more details from each claim
encounter
• Improved Reporting of Diagnosis Codes
impacting CMS Risk Adjustment Data
Submission
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