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CapturePoint for Claims Processing
Take advantage of CapturePoint to significantly improve claims processing efficiency and cut costs. R2K offers CapturePoint/claims, a proven document capture solution that leverages Captiva Software Corporation's Claimpack® in processing HCFA1500 and UB92 forms to support:
- A claims-specific framework for managing the entire capture process flow and to export documents and data
- Form recognition, OCR, data entry and data validation to reduce cost of manual processing and increase accuracy
- Enterprise management tools for end-to-end reconciliation and complete process monitoring to ensure data integrity and improved productivity
CapturePoint/claims Features and Workflow
- Automatic form identification
- Advanced image enhancement
- Highly accurate OCR recognition
- Both out-of-context character repair and in-context key-from-image capabilities
- Dynamic routing
- Intelligent workload balancing
- Standard exports to a variety of back-end systems
- A rich set of management reporting data
- Proactive systems management and controls
- Highly flexible and open framework capable of easily accommodating changes in business requirements
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Key Technical Information
High-performance, scalable, client/server architecture:
- Workload balancing to allow each client to process at its optimum speed
- Closely integrated with Windows NT tools for manageability
- Image rotation allows landscape scanning for higher throughput
- Flexibility to logically distribute and process work at various levels including batch, folder, document and page
- Automatic recovery and reassignment of failed transactions in the event of unexpected client termination
Scanning and Recognition:
- Supports over 160 scanner models at production speeds
- Recognizes single-page and multi-page HCFA1500 and UB92 forms
- Image enhancement during preprocessing for optimal recognition
- Intelligent recognition validates OCR results using a rules engine to improve OCR confidence levels
Data Correction and Key-from-Image Correction:
- Two interfaces for performing manual repairs
- Dedicated character repair (out-of-context)
- In-context data correction
- Character repair designed for high-speed, heads-down processing
- Non-OCR forms are identified, routed past recognition and sent directly to key-from-image for manual entry to increase efficiency
- Flexible dynamic routing to get the right work to the right workstation at the right time
- Workstations can be dedicated to a single type of processing
- Documents can be processed by the knowledge worker with business experience and access to backend systems
- Work distributed along line-of-business
Edits and Rules:
- Comprehensive dual-pass rules evaluation
- Rules evaluated after recognition and again after the first-pass repair
- For low-confidence fields, performs table lookups to validate data, increasing confidence levels and improving accuracy
- Field edits invoked during data correction to minimize errors
Data Management:
- Custom reporting and reconciliation database tracks and maintains historical data on all batches and documents, providing a wealth of statistical data for generating custom reports
- Leverages NT events, performance counters and alerts for enhanced management through R2K's Enterprise Management Console (EMC) Document and data solutions for the world.
Click here for information about CapturePoint Methodology.
Click here for our CapturePoint information sheet, PDF format (280K).
To learn more about CapturePoint/claims please email us at info@r2k.com.
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