Insurance / Dental Forms Processing in large volumes, such as HCFA 1500, UB92 & ADA and Dental, while maintaining high levels of security and strict time frames. With our experienced project managers and staff we can handle all of your insurance forms processing needs.

We can processes Form Processing for Insurance, banking, medical forms and any other forms which have to be replicated electronically. The out put of the form will be on your choice.We are in this business form past seven years so we are best for your needed solutions.

Processing paper and electronic media can be very costly and time consuming. It takes time, money, and resources to capture your data quickly, efficiently, and accurately. We automate processes, increase efficiencies, and require fewer client resources, which lower our clients’ costs.

 

Softwebs Nepal processes Hcfa 1500, UB92 & ADA forms daily by scanning/imaging these documents or accepting them from our clients via ftp and either OCR or manual double key & verify process. The use of our key-from image technology will allow us to route non-readable (ocr) forms to this system where we will double key from images any unrecognized data. The output data is formatted as electronic claims which are transmitted to our clients in an ascii comma delimited, flat ascii, 837 X12 or NSF format (or any other format they might require) for processing.

We can process individual HCFA and institutional UB92 claims as well as dental claims. In the mailroom, the claims get opened, removed from their envelopes and sorted into separate piles: single sheet claims, multiple sheet claims, HCFA's, UB92's, Dental Claims, and miscellaneous other sheets which cannot be processed and quality level of each form. We will not process a document which does not contain a claim form, therefore, any claim or correspondence, whether single or multi-sheet, must always contain a claim form.

The forms are scanned at 200-300 dpi depending on the quality of the form coming into process. During the time pages are scanned the fields are OCR'd and validated for field content. If acceptable, a control number is assigned. The pages are then imaged in a tif format and batched. While scanning we use a red filter located in the scanner to remove the form. As a result, our images are approximately 15k or so each. Critical to our process are two exception handlers. This exception handler allows the system to determine if the claims are good enough to OCR ( any claims that do not meet validation rules or that do not OCR at more than 80% accuracy go to this exception) if they are not the claims is re-routed to our exception program where the claims will be keyed from image.

Why 80%? Well we found that it is more effective for an operator to key all the data if more than 20% needs to be corrected. If there is more than one character wrong in a field it is quicker for our operators to re-key the whole field than try to fix it. Statistically, a more than 20% error rate means that most fields will contain more than one error.

Once the forms are scanned and OCR'd successfully they get assigned a control number and an image number which is indexed in the output file associated with that claim. The images get stored on our Windows NT Server where we will keep them their for our clients to access them through our online search or where they will be transferred to a CD-ROM or Drive of their choice. The rejected pages are either re-scanned as images or re-routed to our exception key entry operators. While this is going on, our key entry stations are looking for batches of images that need to be corrected or key entered. The batch is opened on a verification station creating a split screen displaying the image on the right and the zoomed in zone on the left and key entry fields below with any unreadable characters displayed by highlighting it in yellow.

Once the batch is complete, and the image record is flagged as keyed, the automated job-flow process sends the batch through the output queue into a text file holding the job in an ascii comma delimited format. At the end of the day we generate a transmission report with the file which details each of the batches which were processed.

Forms processing consists of applying for a desired service or benefit, whether it be a credit card application or insurance coverage. Our solutions provide information in real-time to providers, physicians, pharmacists, customers, companies, and governments.

Insurance Forms Processing in large volumes, while maintaining high levels of security and strict time frames. With our experienced project managers and staff we can handle all of your insurance forms processing needs.

Our vast experience in expediting and automating the processing cycle means our clients get the information they need when they need it, quickly and easily.

Our Form processing / form data entry /form data conversion cost can be in form of per form or per data entry of a form.