Dental Claims Processing in the Cloud

From Paper to EDI: Streamlining Dental Claims Processing for Payers

Breakthrough Efficiency

Dental Claims Processing in the Cloud with ICS

The ICS Dental Claims Processing Cloud Solution is an automated, high-volume claims form capture and processing solution built on OpenText Captiva Capture technology and migrated to the cloud for accessibility from any browser and mobile device. It processes all ADA-regulated dental claim forms quickly and efficiently—even those not designed for capture, then exports to EDI in 837D format. ICS creates a complete workflow, allowing an insurance 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 Cloud Solution brings new accountability and auditing capability to the claims process. The solution generates reports using an advanced system that's 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.

Functionality

  • 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

Contact us to learn more about our dental claims processing solutions

OpenText Certified

Having been built on the Captiva Capture platform, the ICS Dental Claims Processing Cloud Solution is an OpenText Certified solution. 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.

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