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ease
features
design
support

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Description

Streamline the complete claims process by automating steps from the initial loss notification and fraud detection through to adjudication and final settlement. Enjoy the capability to handle various claim types distinctively, such as death claims and maturity claims, while enhancing adherence to regulations and avoiding penalties for non-compliance. Achieve more efficient and precise processing with features for data collection, payment oversight, salvage and recovery management, legal case processing, and comprehensive monitoring. Ensure effective registration, adjudication, tracking, and oversight of all claim submissions. Utilize integrated and detailed business rules that enable claims to be categorized automatically into “fast track” or “non-fast track” categories. Additionally, you have the option to easily add or adjust stakeholders involved in the process, including garages, assessors, loss adjusters, surveyors, investigators, and claims officers, to further enhance operational efficiency. This comprehensive approach not only simplifies workflows but also fosters collaboration among all parties involved in the claims journey.

Description

Remittance advice often encompasses a vast number of intricate transactions, compelling healthcare providers to engage in expensive and time-consuming manual data entry to fulfill essential patient accounting functions. To streamline this process and enhance billing efficiency, many healthcare organizations have adopted cutting-edge computer-aided recognition technologies that can extract transaction-related data from paper documents. Although this technology has demonstrated its capability to accurately pull essential data elements, several processing tasks unique to Explanation of Benefits (EOBs) still need to be tackled to ensure effective implementation. The Optiform eobXL™ for Kofax Capture solution offers a comprehensive suite of features designed to meet these specific requirements, along with data and image integration needs, all presented within an easy-to-use, “point & click” interface. By leveraging this solution, healthcare providers can further reduce the burden of manual data entry and improve overall operational efficiency.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Newgen Software

Founded

1992

Country

India

Website

newgensoft.com/solutions/industries/insurance/claims-processing/

Vendor Details

Company Name

Optiform

Founded

1994

Country

United States

Website

www.optiform.com

Product Features

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

Product Features

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

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