Case Study

The Next Evolution Is Here

Dental Claims Processing Case Study

Dental Claims Payer in New Jersey

Background

 

ICS worked with a large dental claims payer in New Jersey with the following challenge:

 

  • Replace an RRI data capture system specifically designed for dental claims, in place for over 10 years, but outdated and inefficient
  • Despite its drawbacks, the legacy system had been customized over the years and had become an integral part of day to day business
  • Customer is SSAE16 certified with extremely challenging requirements around change management, security, reporting, and daily reconciliation of all incoming claims vs. exported and archived claims
  • Requirement to track operator productivity, claims in each work queue, and ability to launch any queue from a single point

Results

 

After implementing ICS Dental Claims Processing Software, the client has realized significant efficiencies:

 

  • The ICS solution is now capturing over 8,000 forms a day
  • ICS able to identify 3 different ADA forms and 29 different templates of these “standard” forms
  • System now able to classify 80% of all paper claims received
  • ICS also able to automatically perform “Black Line Dropout” along with standard Image enhancement to prepare the images for the auto extraction steps to follow
  • Now capturing close to 90% of all data off of hundreds of variations of a black dental form
  • Entire workflow and productivity metrics now highly monitored

Learn More About Our Paper To EDI Process

Client Testimoninals

  • I can't express how much your time is appreciated. I have never worked with a company that has this much dedication to customer satisfaction. I Just wanted to let you know what it means to me and our organization.

    Lead Applications Programmer, Current Customer

  • Our relationship with ICS is professional, collaborative, and constructive. We use ICS as the subject matter expert for the Captiva data capture software, as a developer of applications using Captiva data capture software, architect of applications to ensure efficient and accurate running of the applications, a teacher for our developers in the Captiva data capture software and as an integrator of third party vendor applications and software; check processing and scanner hardware. ICS will go the extra mile to deliver the services we’ve come to expect as our service provider.

    Current Intelligent Capture (Captiva) Customer

  • I have enjoyed working with you and your team. ICS has been a very important part of our ability and success to service our clients to their expectations. I will be forever grateful to you and ICS for all that you have done and will continue to do as we both grow with the future.

    Current Dental Claims Processing Customer

  • ICS is a great partner to work with! They care about their customers and are so responsive to their needs. EVERYONE in the company is willing to do the work. There have been several times I've called the main phone line and the VP has answered or I check in on something and the executives are taking care of day to day work. Our Partnership with ICS has been very successful, enjoyable, and one I would recommend!

    Claims Manager, Current Dental Claims Customer

Got Questions? We'd Love To Hear From You!