Average Ratings 0 Ratings
Average Ratings 0 Ratings
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
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