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ease
features
design
support

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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

The core of our matching software, matchit®, is intentionally crafted to achieve outcomes that emulate human perception on a large scale, all while eliminating the need for preprocessing. By leveraging Artificial Intelligence, a unique phonetic algorithm, specialized lexicons, and a contextual scoring engine, matchit effectively addresses the common errors, inconsistencies, and hurdles associated with contact and business data management. Traditional matching systems typically require users to establish matching criteria, which consist of various functions and standard fuzzy algorithms to generate an alphanumeric match key. This match key is essential for comparing two records and ultimately identifying matches. In contrast to these conventional methods, matchit goes beyond a mere single comparison of match keys; it assesses records in a contextual manner, performing multiple comparisons and individually scoring them to evaluate the similarity across all pertinent elements of your data. This comprehensive approach not only enhances accuracy but also significantly improves the overall matching process.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

Alteryx
Apache Spark
Hadoop
SQL Server

Integrations

Alteryx
Apache Spark
Hadoop
SQL Server

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

ComCom Systems

Website

www.comcomsystems.com/solutions/cybersourcemedical

Vendor Details

Company Name

360Science

Founded

2016

Country

United States

Website

www.360science.com/data-quality-solutions/the-matching-engine/

Product Features

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

Product Features

Data Cleansing

Address/ZIP Code Cleaning
Charting
Data Consolidation / ETL
Data Mapping
Multi Data Format Support
Phone/Email Validation
Raw Data Ingestion
Sample Testing
Validation / Matching / Reconciliation

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