Fully Automate Claims Processing Beyond OCR

Organizations, from healthcare to insurance to government agencies must process claims that arrive from all points of capture. Because it is difficult to control the scanning process for claims, the result is images of all types with variances of either scale or image resolution. In addition, supporting documentation may accompany a claim form. This makes it challenging to achieve high-levels of processing automation.

OCR and fixed-form capture can be useful tools for standardized forms, but they don't accommodate variation in scale, resolution and unknown types of supporting documentation for claims. If you’re looking to expedite the processing of all claims documentation, advanced capture picks up where OCR capabilities stop.

Advanced capture provides automation far beyond converting images of documents into text. Your advanced capture solution should be able to:

  • Configure itself & adapt to changing streams of documents
    This improves claims document preparation time by drastically reducing the need for human input before, during and after the forms are filled out and scanned. Pages can be scanned in any order, further reducing man-hours spent preparing documents.
  • Measure & improve system performance
    Smart learning eliminates the need for templates or rules-based approaches and requires only a sample data set and output results to train the system for more accurate, immediate results. These capabilities include classifiers, image perfection, variance detection and document analysis.
  • Reduce proprietary knowledge requirements
    Most systems rely on a set of application experts to be able to deploy, maintain and support the business application. Configuration with machine-driven advance capture eliminates the need for specially trained people to be able to maintain it.
  • Complete tasks without the typical time and expense of professional services
    Less document prep, fewer requirements on analysis of documentation and less reliance on external services result in faster throughput. By shortening the time it takes to go live, you start producing savings sooner against the project investment.
  • Analyze documents through self-learning from your tagged samples
    While adapting to the most dynamic document streams, simultaneously measure and improve performance in the background. Your system learns what data is able to run ‘straight-through’ with no user intervention and preserves better than human-level precision.
  • Create a document map with only the click of a button
    By importing a PDF form, your advanced capture should automate mapping fields to the page and set field properties such as data type and name. This reduces hours of work to just one click.

If you'd like to learn more about our advanced capture claims processing solution, please contact us or call 360-943-9273.
ILINX Advanced Capture locates, extracts, and validates any type of information in the document including machine print, table data, images such as logos, signatures, all forms of handwriting, barcodes, check information, and more. Our solution eliminates the need to invest in multiple products, integrations, complex setups for testing and costly programming. It dovetails effectively with ILINX RPA to update multiple systems and expedite decision making and initiatives across multiple departments without requiring human interaction.

Carol Carbone