Explanation of Benefits Processing

ABBYY AI transforms healthcare claims automation

Improve your revenue cycle management with explanation of benefits (EOB) process automation.

Accounts receivable and EOB processing

Manually entering EOB and remittance data into billing systems creates delays and backlogs that restrict healthcare providers’ cash flow. When these delays occur at the beginning of the process, it is much harder to meet deadlines for secondary billing and denials. ABBYY automates capture of data from EOB and remittance advices – helping providers to recognize revenue sooner and avoid write-offs.

Automatically capture and process data from EOBs

Eliminate data entry
When the data needed to reconcile EOB forms is automatically extracted from scanned or faxed documents, it can be uploaded into billing systems sooner – and exceptions can be identified faster.
Enhance efficiency
Employees can focus on resolving exceptions and managing denials instead of tedious data entry, improving the revenue cycle. EOB processing automation relieves the burden on staff, and providers can manage peaks in volume without falling behind.
Save time
Locate digital documents in the event of queries or denials in your digital archives instead of spending time searching for paper documents, making copies and sending them to payers.

ABBYY helps healthcare organizations (HCOs) maximize resources

Intelligent automation accelerates claims processing

  • Improve cash flow by automation of accounts receivable and easily adapt to increased volume without increasing staff.
  • Speed reconciliation, eliminate backlogs and reduce errors.
  • Accurately extract data from the most complex EOB forms to support straight-through processing.

With ABBYY, healthcare organizations can:

Reduce risks
Eliminate the inconvenience and potential liability of maintaining inaccurate records.
Reduce errors
Reduce the impact of converting paper and faxed charts by practically eliminating manual data entry.
Stay compliant
Comply with HITECH deadlines as well as Meaningful Use requirements.
Save time
Spend less time looking for paper and more time helping patients.

Healthcare automation usage scenarios

Process intelligence

Access end-to-end visibility of your processes using data from various back-end systems so you can identify inefficiencies, correct bottlenecks, and even predict future outcomes.

Patient satisfaction surveys

Eliminate time-consuming and error-prone manual processes by automating the entire HCAHPS survey processing workflow, from scanning of patient surveys and data extraction to automatic validation and verification of data.

Revenue cycle management

Optimize revenue cycle processes to reduce claim denials, ensure prompt payments, and decrease costs by gaining end-to-end visibility into your process execution.

Referral management

Streamline the referral process to accelerate revenue with a combination of IDP, RPA, and process intelligence. Automate the integration of patient referral data from faxes into EHR, eliminating manual entry and processing.

Claims and billing

Process claim forms more accurately and cost efficiently with advanced data capture of information from paper and digital medical forms. Automatic validation ensures accuracy for billing.

Expedite invoicing and payments

Streamline the processing of invoices and other financial documents with automated document capture, recognition, field extraction, and validation of data, delivered directly to your ERP, RPA, or ECM system.

Patient records

Integrate paper and images from existing patient records, new patient information, and current health information into new EHR workflows without disrupting your processes or compromising patient care.

Accounts receivable and EOB processing

Automatically extract data from scanned or faxed documents so it can be uploaded into billing systems sooner, and exceptions can be identified faster.

U.S. Food and Drug Administration (FDA) uses IDP to protect public health







“Going forward, we plan to use ABBYY to process newly received health reports and utilize the data in our downstream enterprise workflow and visualization software. ABBYY has brought us into the 21st century.”

Utilize patient and process data to improve diagnosis and reporting of ADRs

Download solution brief

Utilize patient and process data to improve diagnosis and reporting of ADRs

Download solution brief

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