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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details
i3Claim
i3Claim

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HIM Indexing Bot
HIM Indexing Bot

0 review

Categories

Solutions

Description

Product Description:

i3Claim: End to end Claims Processing Automation solution

With increasing complexities and evolving consumer demands, digitisation of the claims process has become essential for insurers to ensure fast settlement & payment of claims as well as drive customer satisfaction and set standards of service.

However, traditional claims processes involve intensive document-driven operations and the processing of non-structured data in multiple formats/nomenclature, making it difficult for insurers to process claims efficiently and quickly.

i3claim helps in capturing significantly more data-points in much lesser handling time. It reduces the extent of manual data capture and human errors in the entire claims process by more than 60%, making it much faster and extremely scalable.

i3claim accepts data input from a variety of sources like Hospitals, Pharmacies and Diagnostic centres. It extracts, classifies, and standardizes non-structured data present across multiple documents.

i3claim reduces the claims process to a single queue, by automating several parallel activities. This improves efficiency and leads to a reduction in cashless discharge time from 4 hours to less than 30 minutes for 90% of the cases. AI-assisted processing covers accurate capture of Non-payable and tariff comparison on 60% of the line-items. This has led to an average of USD 200-5000 savings per claim compared to manual processing.

About i3systems:
i3systems is a healthcare machine learning product company, with a particular focus on the insurance clients. Our system can work on a variety of documents and unstructured data-sets to create an extremely high-quality data essential in predictive modeling, process automation, and decision making. The company has created unique frameworks which blend computational linguistics, machine learning / AI models, image processing, NLP, quality-control rule engines, interactive interfaces; in order to solve a wide variety of problems associated with Underwriting and Claims decision making in health and life insurance companies. Company's products i3claim, DataMD, DigiTariff and TBots perform process-automation, straight-through-processing with zero manual-touch-points, fraud detection, and Multi-dimensional risk stratification in Claims, Underwriting, Tariff digitization processes. We are Leaders in Health Insurance market today because of our innovative platforms and commercial structure. We have proven our capabilities across large enterprise clients in India and Globally helping the likes of AXA Gulf, Bajaj Allianz, ICICI Lombard, Healthcare TPAs, etc. achieve: • Over 50% reduction in operational costs, • Our AI/NLP based models help in achieving more than 90% accuracy, • 70% decrease in processing time, • 300% improvement in skilled FTE productivity, • 90% reduction in leakages due to insufficient data and capture errors, • With 0% compromise on information security.
Product Description:

Regardless of the document format and structure, using Intelligent Document Processing, the CampTek HIM Indexing Bot can contextualize the data and input into any application

Some examples:

Standardized Systems this works with (add links):  

Epic 

OnBase 

Cerner (Oracle) 

eCW 

Siemens 

Availity 

Evicore 

Magellan 

UHC 

Cigna 

Any Payor with a Portal and/or API Capability 

Any EMR/HER, both large and small. 

About CampTek Software:

CampTek Software is a Full-Life-Cycle Intelligent Automation/AI SaaS Provider with proven results implementing and supporting automation solutions through our successful methodology. Our unique hosted model offers many powerful advantages including a shorter time to market, 24/7 support and overall lower cost of entry. Our approach is simple, scalable and repeatable.

CampTek will be with you on every step of your RPA & AI Journey!

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Use Cases

Description:

End to end Healthcare and Life Insurance Claims processing automation solution.

Pediatric use cases:

Yes

Users:

Healthcare Insurance providers, Healthcare TPAs, BPOs / GSIs

Description:

Provider Systems: Epic

Payer Portals: OnBase, Epic

Challenge:

A large Mid-West Healthcare provider with fifteen hospitals across two states had a large document processing problem: importing Patient Consent Forms into OnBase. This is generally not an issue for most DU (Document Understanding) tools because most of the data is structured. In this case these particular documents included a stamp or label of patient demographics added by hand and placed on the document with both structured and unstructured data. This information on these labels then needed to be read and indexed into Epic. The challenge was that these labels were being placed on the documents by clinicians and in most cases were not always positioned in a way that was effectively “read” by most DU tools.

Solution:

As a trusted adviser to the client, CampTek Software brought in several DU vendors to perform a proof of concept for the provider so they could evaluate the ability of several tools to effectively read the skewed labels. Document Understanding solutions such as ABBYY, UiPath and Indico were among those reviewed.

Each product was given a sample set of documents as part of a proof of concept. From there, CampTek would analyze the ability and percentage results to present back to the client. The findings were overwhelmingly positive for Indico. Even upside down, the labels could be read immediately. For others, the test proved that if the label was more than 10% out of alignment, they had poor results. Indico immediately showed a 90% accuracy result. Indico also did not require the use of templates, like some of the other tools did.

The findings were presented to the customer and within a short time the project was approved. Also, it was stated by the project lead that once this first project was implemented, there will be additional opportunities for expansion of the Indico/CampTek managed services solution. For example, the ability to pull data and documents from Legacy systems like CPSI and replacing expensive point solutions like Edco Solarity as next projects.

  • 7.4m documents first year requirements
  • Hospital 1: 600/hour average (Tuesdays are the heaviest day week).
  • Hospital 2: 320/hour (Tuesdays are the heaviest day week). 500-400 documents per hour per process (4 processes)
  • Average file size, twenty pages or less
Pediatric use cases:

None provided

Users:

Any Healthcare provider

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Patient portal, Pop health platform, Home health, Behavioral health, Community based organizations, ADT, Access +/or revenue cycle, Credentialing, Website / public online sources, Other

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, Healthland, MEDHOST, MedWorx, QuadraMed, Self-developed, Would prefer not to disclose, Point Click Care

Hardware Compatibility:

None provided

Client Types

None provided
None provided

Awards

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Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:

We offer Intelligent Automation as a Managed Service and have successfully built automations for every major EHR.

Differentiators vs Competitors:

We not only focus on development but also full support of bots once they are in production. Each bot has its own custom dashboard view so that our customers are continuously informed of its daily trransaction metrics and KPIs.

Keywords

Images

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Videos

1 of 1

i3 Logo Animation_20 10 2021_Highres.mp4

1 of 4

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HIM-dex Case Study (Intelligent Document Understanding)

Downloads

No content provided

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HIM-dex Case Study.pdf

Alternatives

Company Details

Founded in 2016

Founded in 2018

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