Audience
Anyone searching for a Claims Processing solution
About eobXL
Given that remittance advice often contains thousands of detailed transactions, healthcare providers must resort to costly and labor-intensive manual data entry tasks to perform the necessary patient accounting activities. In an effort to automate this process and accelerate billing cycles, healthcare providers have turned to recently available computer-aided recognition technologies designed to extract transaction-based data from paper forms. While this technology has proven effective at extracting accurate data elements, there remain many processing tasks specific to EOBs that must be addressed for successful implementation to occur. The Optiform eobXL™ for Kofax Capture solution provides the necessary features to address these tasks, as well as the data and image integration requirements, all in an intuitive, “point & click” interface.
Integrations
No integrations listed.
Company Information
Optiform
Founded: 1994
United States
www.optiform.com
Videos and Screen Captures
Parascript
Ensure faster, more accurate mortgage and loan document processing automation with Parascript software; automate insurance document-based tasks for the intake and review of healthcare insurance data. Optimize health plan process efficiencies, increase data accuracy and reduce costs through document processing automation.
Parascript software, driven by data science and powered by machine learning, configures and optimizes itself to automate simple and complex document-oriented tasks such as document classification, document separation, and data entry for payments, lending, and AP/AR processes.
Every year, over 100 billion documents involved in banking, government, and insurance are processed by Parascript software.
Learn more
Jopari ProPay
Jopari ProPay is a cloud-based payment processing solution for healthcare payers. It offers a comprehensive suite of payment methods, including EFT/ERA, virtual card payments, and paper checks, as well as a self-service provider portal for EOB/R delivery and support for compliant 835 delivery for eBilling transactions.
Jopari ProPay helps healthcare payers to eliminate paper and reduce operational expenses by streamlining their payment and remittance processing. It also allows payers to outsource their payment processing, which can free up their resources to focus on other core tasks.
For providers, Jopari ProPay offers a multi-tiered choice of payment delivery options, so they can choose the method that best meets their needs. Providers can also access a self-service portal to view their EOBs/Rs and track their payments.
Jopari ProPay is a secure and compliant payment processing solution that is trusted by over 50,000 ERISA health plans and fully insured groups.
Learn more
POWEReob
Insurance payment posting, like so many other tasks, falls under the proverbial 80/20 rule. The 20% of your payments that are still posted from paper EOBs take 80% of the overall payment posting work, if not more. Not so with POWEReob. POWEReob is a combination of free software and a pay-per-transaction service that will convert the paper EOBs you still receive from some payers into electronic remittances files in the ANSI 835 or NSF format. These files can then be used for automated payment posting to your practice management software, electronic secondary claims billing and denials management. POWEReob can work with any practice management that accepts remittance files from 3rd party sources (not just from their designated clearinghouse). For those that don't, we'll work with your practice management or clearinghouse so you, too, can benefit from the labor savings resulting from 100% electronic remittances.
Learn more
Virtual Examiner
Virtual Examiner®, PCG Software’s flagship product, monitors the internal claims process of an organization to trend provider data for fraudulent and abusive billing patterns, and maximizes financial recoveries. PCG Software’s Virtual Examiner® allows healthcare organizations to enhance their current claims adjudication system with more than 31 million edits per claim. The software solution monitors an organization’s internal claims process to identify unclean claims and reduce payment for improper or erroneous coding to conserve premium dollars. Virtual Examiner® is more than a claims review solution with a focus on code combinations. It is a cost containment solution that evaluates the claim not only for abusive billing patterns but also identifies those claims that may involve third-party liability/coordination of benefits, case management opportunities, physician billing education and many other cost recovery reports.
Learn more
You Might Also Like
Boost application security and continuity with SKUDONET ADC, our Open Source Load Balancer, that maximizes IT infrastructure flexibility. Additionally, save up to $470 K per incident with AI and SKUDONET solutions, further enhancing your organization’s risk management and cost-efficiency strategies.
Product Details
Platforms Supported
Windows
Training
Documentation
Live Online
Support
Phone Support
Online
eobXL Product Features
Claims Processing
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Policy Administration