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EOB Data Capture and Processing

Automatically capture, validate and balance EOB data from all your payers—and drive productivity, lower costs and speed through your EOB processing.

Providers of all sizes—from large hospitals to independent medical practices—face a common, relentless problem: capturing data from Explanation of Benefits (EOB) forms accurately and quickly without unnecessary cost and delay.

EOBs create a host of issues—and hidden costs—for providers who enter EOB data manually.

First, each payer’s EOB has a learning curve, because each has its own format and terminology. And EOBs contain so much data that it is difficult to locate, and then time-consuming to enter, the data you need for your business processes. Even if some EOBs are delivered electronically, every provider must still deal with paper for many payers—which dominates the time spent processing EOBs.

Manually entering and validating data, managing denial codes, and balancing each claim to EOB and check totals drain productivity and increase costs—even if it’s not clearly apparent on the surface.

Automate EOB Data Capture and Processing

Our solution works with a scanned image of an EOB to automatically capture all the patient claim data you need. Staff can focus on higher-value tasks, such as resolving discrepancies to ensure maximum revenue and faster payment processing. All while you retain full control of your data and documents in-house, from envelope to archive.

Automatically validate captured data, balancing procedural charges, claim totals and EOB totals to ensure accuracy. Discrepancies are routed for human review. Our solution can also verify that line items within a claim match your original claim in your patient accounting system. Accurate data and images are then delivered to your patient accounting, financial management and other business systems.  The solution supports the latest health care 5010 standard with EDI 835 output.

Benefits of EOB Data Capture and Processing:

  • Reduce hidden manual data entry cost
  • Capture accurate summary data and line-item details
  • Capture all EOBs in a single-payer solution
  • Create individual patient record snippet images to aid in HIPAA compliance
  • Automatically index your EOB data and images for quick retrieval

Contact us today for a free evaluation!