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Average Ratings 0 Ratings

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ease
features
design
support

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Write a Review

Description

Introducing the most effective and precise solution in the market for handling claims, the CyberSource Medical Claims Scanning Solution is a fully integrated system designed for HMO, PPO, TPA, or Self-Funded Organizations. This system is set up at your facility to facilitate automated data entry for various forms including CMS-1500, ADA-2006, UB-04, and enrollment documentation. By leveraging sophisticated "intelligent" features along with your specific business protocols, CyberSource adeptly identifies, verifies, and formats data extracted from medical claim submissions. Its Fuzzy Matching technology smartly searches through your member and provider databases to ensure accurate identification of data matches. Once the data is matched, it is used to confirm and rectify information on the medical claim prior to moving it to the adjudication stage. The synergy of top-tier OCR capabilities, your unique business guidelines, and efficient Fuzzy Matching contributes to outstanding precision in processing data from your medical claims forms, ultimately enhancing operational efficiency. Through this innovative solution, organizations can significantly minimize errors and streamline their claims processing workflow.

Description

NetOwl NameMatcher, recognized for its excellence in the MITRE Multicultural Name Matching Challenge, delivers unparalleled accuracy, speed, and scalability in name matching solutions. By employing an innovative machine learning framework, NetOwl effectively tackles the intricate challenges of fuzzy name matching. Conventional methods like Soundex, edit distance, and rule-based systems often face significant issues with precision, leading to false positives, and recall, resulting in false negatives, when confronting the diverse fuzzy name matching scenarios outlined previously. In contrast, NetOwl leverages a data-driven, machine learning-based probabilistic strategy to address these name matching difficulties. It automatically generates sophisticated, probabilistic name matching rules from extensive, real-world multi-ethnic name variant datasets. Furthermore, NetOwl employs distinct matching models tailored to various entity types, such as individuals, organizations, and locations. To add to its capabilities, NetOwl also integrates automatic detection of name ethnicity, enhancing its adaptability to the complexities of multicultural name matching. This comprehensive approach ensures a higher level of accuracy and reliability in diverse applications.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

ArcGIS No 
Elasticsearch No 
Eurekos Yes 
Google Maps No 
IBM Cloud No 
Kibana No 
MarkLogic No 
Palantir Apollo No 
SolrCommerce No 
Tableau No 

Integrations

ArcGIS Yes 
Elasticsearch Yes 
Eurekos No 
Google Maps Yes 
IBM Cloud Yes 
Kibana Yes 
MarkLogic Yes 
Palantir Apollo Yes 
SolrCommerce Yes 
Tableau Yes 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) No 
In Person No 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) No 
In Person Yes 

Vendor Details

Company Name

ComCom Systems

Website

www.comcomsystems.com/solutions/cybersourcemedical

Vendor Details

Company Name

NetOwl

Founded

1996

Country

United States

Website

www.netowl.com/name-matching-software

Product Features

Claims Processing

Adjustor Management No 
Case Management No 
Claim Resolution Tracking No 
Co-Pay & Deductible Tracking No 
Compliance Management No 
Customer Management No 
Electronic Claims No 
Forms Management No 
Paper-Based Claims No 
Payor Management No 
Policy Administration No 

Product Features

Data Quality

Address Validation No 
Data Deduplication No 
Data Discovery No 
Data Profililng No 
Master Data Management No 
Match & Merge No 
Metadata Management No 

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