Healthcare insurance claim forms are critical for both patients and insurers. For patients, this document is vital to ensure that their medical claims are covered. For insurance companies, claim forms contain essential customer information and billing details, making it crucial to manage them efficiently. With potentially thousands of claim forms to process daily, manual handling can slow down operations, increase errors, and harm the company’s reputation.
In this article, we will guide you on how to automate healthcare insurance claim form processing in just four simple steps.
Key Information from the Healthcare Insurance Claim Form Process
The information on the healthcare insurance claim form is critical for the covered claims process. So, when extracting this document, pay attention to essential data, including:
1. Patient Information
The patient data is one of the most important details in the document for effectively processing the claim.
The patient information includes:
– Full name, date of birth, address, contact details, and patient ID
– Insurance policy number
– Employer details (if applicable)
2. Provider Information
The details of the healthcare provider help in validating the claim and ensuring that the services given are covered. It includes:
– Provide name and contact details
– Identification number of healthcare providers, to simplify the billing procedure
– Tax identification number, used for verification of the provider’s legitimacy
3. Medical Service Details
Medical service details include codes that categorize the treatments provided. These codes are essential for accurate billing and efficient claim processing because insurance companies utilize them to determine the relevance of the care given. Key medical service details include:
– Diagnosis Codes (ICD): these are codes that describe diagnoses or conditions that a healthcare provider treats.
– Procedure Codes (CPT or HCPCS): codes that describe the specific medical procedures or services provided.
4. Cost Information
Billing details are critical to the reimbursement procedure. A detailed breakdown of costs ensures that all charges are correctly accounted for and processed. Key cost data includes:
– Total amount billed for medical services.
– Co-pays, Deductibles, and Out-of-Pocket Costs
– Receipts and invoices
Automate Healthcare Insurance Claim Forms with Fintelite OCR
We are aware that Fintelite OCR is an AI solution for all industries that seek to streamline document processing. To automate healthcare insurance claim forms, insurers need to employ Fintelite OCR. Aside from the proven capability to process rapidly and precisely, the dashboard is highly user-friendly. All insurance employees will be able to operate without additional training. Moreover, it might significantly lower your costs. Making it Fintelite OCR an effective solution for insurance companies.
Here is how Fintelite OCR processes healthcare insurance claim forms.
1. Create The Template
First, you need to create your own healthcare insurance claim form. Click “Custom Template” on the dashboard, then click “Create Template” to start creating your documents.
2. Set Up Your Template
This step requires you to fill out two sorts of columns: Basic Set-Up (including the template name, details, and sample upload documents) and Label Key Set-Up (label or category information that you want to extract).
a. Complete basic set-up column
Enter the template name and description, similar document type (if any), then upload your document. After that, click on “Submit Model.”
b. Complete set-up label key column
Create a label key or specific information that you want to extract when needed. In this phase, because we previously selected that the healthcare insurance claim form be similar to the insurance form, the label key is provided. You can add or delete this label key as you want. You can see a preview of the JSON format based on the type of data you enter. Finally, click “Save,” and your template will be automatically saved.
3. Data Extraction
Once you’ve created a template, you can begin extracting data from your healthcare insurance claim form. Click “Upload” on the dashboard. Choose a template name and then upload the document. Finally, click “Upload,” and your document will be processed. You can change the reading results to improve the accuracy of data extraction.
4. Export Data
You can easily export the results of the data in XLS format. Simply tick your document, then click “Download XLS,” and your data will be successfully downloaded to your device.
That is how you use OCR Fintelite to automate the processing of healthcare claim forms. Very quick and accurate. You can try this feature for free by registering on the Fintelite website. You can also tailor your solution to your specific needs by consulting with our AI professionals for free.
