Posts Tagged ‘ScanClaims’

Wildcard Searches in AnyDoc BROKERit

Wednesday, August 25th, 2010

The BROKERit product from AnyDoc Software is normally included with the base ScanClaims software suite when purchased with scanning and OCR for AnyDoc.  This is a very powerful tool to search for archived documents that are properly indexed using either verified Optical Character Recognition (OCR), customized Key From Image (KFI) screens, or when linked to external databases.

Queries can be performed on either single or multiple folders using the “Query Module” interface. Simply right-click on the desired level folder on the left side of the screen, then select either “Quick Folder Query,” “New Folder Query,” or “New Multiple Folder Query,” depending on whether you would like to search across multiple folders or in a single folder. The “Quick Folder Query” is generally the most utilized option because users can set up archive folders with different forms having different indexes.

A list of all the indexed fields for that folder will be displayed on the right side of the screen. The “Operator” column features a drop-down list that allows the user to specify which operator to use (=, >, <, >=, <=, <>, Like, List, Between, Null, and Not Null). The default operator is “=.”

When the user selects “Like” as the operator, the “Field Value” column can be used in conjunction with the wildcard character “%.” For instance, when searching the “Document Number” field for all images scanned on 8/10/2010, the user can enter S20100810 with the “%” wildcard character (S20100810%) in the appropriate “Field Value” field.

The “%” wildcard character can be used to match any number of characters up to the size of the field. The underscore character (_) can also be used in combination with the partial contents of an index field to search for values by length with each “_” representing a single character. In this case, the “Field Value” column of S____ (four underscore characters) would return names like “Smith,” but not “Sampson.”

The mathematical operators >, <, <=, and >= can also be used to return the desired results. In the above document number example, the operator “>=” could be used with S20100810 (no wildcard character) to return all document numbers scanned on or after that date.

For more information on AnyDoc® BROKERit, click here.

HCIM ScanClaims Client Case Study

Tuesday, August 1st, 2006

VAR’s Health Claims Workflow Solution Wins Healthcare Clients

“We re-engineer workflows to leverage technology” declares Michael Wilson, president and CEO of VAR HealthCare Information Management, Inc. (HCIM). HCIM accomplished this for John Muir/Mt. Diablo Health Network, a medical foundation serving the San Francisco Bay area.

Health Network previously outsourced data entry of HCFA (Health Care Financing Administration) 1500 claims forms with lackluster results. The monthly data file often failed to load, or provider and member eligibility information were mismatched, forcing Health Network to manually key data. According to Janiece Nolan, Health Network president/CEO, “This affected 30% of our HCFA claims.”

Experience, Previous Workflow Success Earn Install
HCIM presented Health Network with a solution previously developed for another healthcare provider with the same claims platform and similar workflows. “As a result of our new OCR [optical character recognition] solution with Claims Manager, Health Network moved five employees from data entry roles into other positions, saving the client more than $500,000 in operating expenses,” says Gregory Merica, ScanClaims product director at HCIM. HCIM and Health Network redesigned workflows based on the VAR’s ScanClaims solutions package, using forms processing and document image storage and retrieval. The solution includes: a Kodak 2500 scanner; AnyDoc Software’s OCR for AnyDoc for data capture and validation; AnyDoc® EXCHANGEit for data transfer into Claims Manager; AnyDoc® BROKERit with a SQL server for image storage and retrieval; Claims Manager, HCIM’s proprietary ScanClaims software that automatically researches claims eligibility and providers; and SymKey, HCIM’s automated claims examiner product.

Claims Manager prevents claims errors from entering the client’s adjudication system. First, it matches the member’s ID, name, and birth date against the client’s claims processing system. Then, it performs similar matching logic on healthcare providers. It also flags claims for manual review based on client-specific preprocessing rules. Health Network now uses the solution for authorization forms, allowing nonclinical staff to assist with tasks only RNs used to perform.

To Learn More About AnyDoc Software, Visit www.anydocsoftware.com.

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