Software Overview
The Next Evolution Is Here
From Paper to EDI: How to Cut Paper Dental Claims Processing for Dental Plans by 50%
An Efficiency Breakthrough
The ICS Dental Claims Processing Solution is an automated, high-volume claims form capture and processing solution built on OpenText Intelligent Capture (Captiva) technology. It processes all ADA-regulated dental claim forms quickly and efficiently-even those not designed for capture, then exports them to EDI in 837D format. ICS creates a complete workflow, allowing a dental payer to process and pay a dental service provider or to reimburse plan members automatically and accurately.
Beyond its processing efficiency, the ICS Dental Claims Processing Solution brings new accountability and auditing capability to the claims process. The solution generates reports using an advanced system that is easily accessible, covering metrics that will show all work queues-including manual queues-and the volume of claims within them. Diverse forms can be extracted efficiently, and typically processed the same day the claim was received.
Features & Benefits
- Captures black dental forms, even those not designed for automated capture
- Output to EDI in 837D format
- Built with automation and validation to reduce overall labor and increase the accuracy of extracted data
- Image enhancement module removes black lines on a form to identify the areas needed for extraction
- Often able to export data with no manual intervention
- Integrates easily with back-end database and line-of-business applications
- Attended Client Manager (ACM) module
- CapReport reporting module
- World-class support and development that keeps up with legislative and user changes
OpenText Certified
Having been built on the OpenText Intelligent Capture (Captiva) platform, the ICS Dental Claims Processing Solution is an OpenText Certified solution and even won Best Capture Solution recently. OpenText engineers have reviewed its architecture for functional completeness, performance, scalability, security, deployability, supportability, and interoperability with associated enterprise applications. OpenText Certified solutions offer tight roadmap alignment with OpenText platforms, generate a rapid return on investment, and replace expensive customizations.