ABBYY Solutions for Healthcare Automation

Optimize revenue cycle management and document processing.

  • Overview
  • Billing and claims processing

Billing and claims processing

Automate capture of CMS-1500s and UB-04/CMS-1450s. 

ABBYY’s advanced data capture technology automates the capture of information from paper and digital image medical claims – helping you process claim forms more accurately and cost-efficiently. It supports all standard claim forms, including HCFA/CMS-1500 and UB-04/CMS-1450, as well as claim attachments. ABBYY’s precision data extraction technology couples with automatic validation rules to ensure that your and your customer’s billing, accounting and healthcare claims management applications receive accurate data – with minimal human involvement. Plus, it provides a streamlined claim entry process that gives you greater control over the entire claims processing workflow and with much greater visibility.

Optimize your medical claims processing today

Introducing ABBYY’s advanced data capture into your medical claims processes enables you to accurately capture claims data from a wide range of forms, scale on the fly, and reduce the cost-per-claim. Tailoring to your specific business needs and requirements, your ABBYY solution ensures delivery of the highest possible ROI.

ABBYY technology is implemented by certified professionals who have extensive experience in deploying capture solutions for billing workflows. ABBYY will help you assess your requirements and configure a solution tailored to your medical claims processing needs. This includes the fields necessary to extract data from forms, validation rules, subsets of ICD and CPT codes and setup for export to EDI 837 format.

Empowering your healthcare claims processing workflow with advanced data capture technology can have an immediate and positive impact on your business with benefits that include:

    • Up to three times lower cost per claim.
    • Flexibility to increase productivity without adding headcount.
    • Reduced number of exceptions and rejected claims.
    • Minimized risk of inaccurate reimbursements.

Features & Benefits

ABBYY software offers a range of features that streamline and automate your healthcare claims processing workflow.

Benefits 154B 77X77

Automatic capture of data from black & white and dropout forms with equally high quality.

Benefits 118V 77X77

Processing of various medical claim forms, including HCFA/CMS-1500 and UB-04/CMS-1450, in a single batch with classification.

Benefits 218R 77X77

A set of captured fields that is customizable to your requirements.

Benefits 165B 77X77

Automatic validation of data against lists of ICD and CPT codes and rules to meet requirements imposed by CMS.

Benefits 120V 77X77

Recognition of supporting documents attached to a claim, such as remittance advice or an explanation of benefits.

Benefits 113R 77X77

Distributed scanning and submission of claims via a web browser, in addition to centralized capture.

AI to the rescue: solving $750 billion in medical billing errors

Blog article

A recent study shows 90 percent of hospital bills contain errors totaling $750 billion every year. Yet addressing such errors involves manual analysis that is prohibitively lengthy and expensive – unless, as Dave Bayer illustrates, artificial intelligence is brought to bear. Read on to see why!

Read the article

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