Forms processing service is considered by many as a commodity service. But if you are in the insurance industry you will realize how far this is from the truth - Insurance forms like HCFA1500/CMS1500, UB92(HCFA1450)/UB04, Dental claim forms and Vision forms come in many flavors and forms. Take the case of HCFA claim form itself - there are about 50 different subtle variations to the form.
Each plan administrators, TPAs, benefit administrators have their own unique way to process a claim. Some of them index the fields as KWYS (Key What You See) while for some fields, they apply appropriate business rules. Again the rules can be varied from simple rules like date of service to complex rules like Coordination Of Benefits (COB), and from checking eligibility to verify the total of the service lines etc.
The accuracy of the forms can be a challenge. While most outsourcing companies offer quality on field level, Vee puts its self on the line and offers claim level accuracy,
and has service level augments which effects pricing ease the quality goes down.
Insurance Claim forms’ processing at Vee is done on a complex tri level - it’s a harmonious blend of:
Technology - We use technologies like OCR - where we use optical character recognition to extract about 80% of the forms
Human judgement- where our form experts are trained in form specific unique nuances to pick up and apply rules, reject claims, reprice claims, etc.
Process - We have inbuilt
process that
checks to, validate and audit the claims, checks, invoices
We would be happy to assist you in your forms processing requirements.
Vee will be happy to answer your questions and discuss over a call. Please contact us on 1-877-794-9514 or email at
