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Average Ratings 0 Ratings

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ease
features
design
support

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Write a Review

Description

Introducing the most effective and precise solution in the market for handling claims, the CyberSource Medical Claims Scanning Solution is a fully integrated system designed for HMO, PPO, TPA, or Self-Funded Organizations. This system is set up at your facility to facilitate automated data entry for various forms including CMS-1500, ADA-2006, UB-04, and enrollment documentation. By leveraging sophisticated "intelligent" features along with your specific business protocols, CyberSource adeptly identifies, verifies, and formats data extracted from medical claim submissions. Its Fuzzy Matching technology smartly searches through your member and provider databases to ensure accurate identification of data matches. Once the data is matched, it is used to confirm and rectify information on the medical claim prior to moving it to the adjudication stage. The synergy of top-tier OCR capabilities, your unique business guidelines, and efficient Fuzzy Matching contributes to outstanding precision in processing data from your medical claims forms, ultimately enhancing operational efficiency. Through this innovative solution, organizations can significantly minimize errors and streamline their claims processing workflow.

Description

The core of our matching software, matchit®, is intentionally crafted to achieve outcomes that emulate human perception on a large scale, all while eliminating the need for preprocessing. By leveraging Artificial Intelligence, a unique phonetic algorithm, specialized lexicons, and a contextual scoring engine, matchit effectively addresses the common errors, inconsistencies, and hurdles associated with contact and business data management. Traditional matching systems typically require users to establish matching criteria, which consist of various functions and standard fuzzy algorithms to generate an alphanumeric match key. This match key is essential for comparing two records and ultimately identifying matches. In contrast to these conventional methods, matchit goes beyond a mere single comparison of match keys; it assesses records in a contextual manner, performing multiple comparisons and individually scoring them to evaluate the similarity across all pertinent elements of your data. This comprehensive approach not only enhances accuracy but also significantly improves the overall matching process.

API Access

Has API No 

API Access

Has API Yes 

Screenshots View All

Screenshots View All

Integrations

Alteryx No 
Apache Spark No 
Eurekos Yes 
Hadoop No 
SQL Server No 

Integrations

Alteryx Yes 
Apache Spark Yes 
Eurekos No 
Hadoop Yes 
SQL Server Yes 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours No 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) No 
In Person No 

Types of Training

Training Docs No 
Webinars No 
Live Training (Online) No 
In Person No 

Vendor Details

Company Name

ComCom Systems

Website

www.comcomsystems.com/solutions/cybersourcemedical

Vendor Details

Company Name

360Science

Founded

2016

Country

United States

Website

www.360science.com/data-quality-solutions/the-matching-engine/

Product Features

Claims Processing

Adjustor Management No 
Case Management No 
Claim Resolution Tracking No 
Co-Pay & Deductible Tracking No 
Compliance Management No 
Customer Management No 
Electronic Claims No 
Forms Management No 
Paper-Based Claims No 
Payor Management No 
Policy Administration No 

Product Features

Data Cleansing

Address/ZIP Code Cleaning No 
Charting No 
Data Consolidation / ETL No 
Data Mapping No 
Multi Data Format Support No 
Phone/Email Validation No 
Raw Data Ingestion No 
Sample Testing No 
Validation / Matching / Reconciliation No 

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