Benefits

The proof is in the data, this is how our customers use smart self-service to provide better customer experiences.
  • 3x Lower cost per claim

    times- Up to 3 times lower cost per entry of claim
  • 24 hours

    24hrs - Settlement did under 24hrs
    .
  • 100%Reduction

    100%- More than 100% reduction in exceptions

Summary

Brief of how we solve these challenges

The process of health insurance claims is a tedious, labor-intensive task prone to transcription errors. Also, several technical protocols and industry standards must be met for insurance claims to be delivered expediently and accurately between medical practice and payer.

Read more and understand how our AI enterprise solutions helped health insurance to

-Capture information from paper and digital image medical claims
-Streamline claim entry process that gives greater control over entire claims processing workflow
-Process customer’s billing and accounting
-Manage healthcare claims, record accurate data with minimum human involvement

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Assisting healthcare insurance companies to minimize form process time and improve overall customer service index

Customer overview

Health insurance companies that partner with you for total health and wellness, 24/7 – caring for your body and mental health. As a global health service company and a mission to improve the health, well-being, and peace of mind of those they serve by making health care simple, affordable, and predictable. Their values guide how all of its employees across the globe work cohesively to serve our customers, patients, clients, communities, and achieve our mission.

Our values guide how all 74,000 of us across the globe work cohesively to serve our customers, patients, clients, communities and achieve our mission.

Our values are the core of our culture.

Challenge

Existing processes
and issues at hand

The forms CMS 1500 (formerly HCFA 1500) and UB-04 are the most common medical forms used to submit a claim.

The form CMS 1500 is the universal claim form used by non-institutional healthcare providers, such as private practices, to bill specific covered services, whereas the form UB-04 although very similar to the CMS 1500, is used by institutional healthcare providers, such as hospitals, to submit claims.

The J430 Dental Claims Form is a form which every dentist should be using, the 2012 version of the ADA Dental Claim Form, to avoid delayed payment and claims processing problems.

A number of technical protocols and industry standards must be met for insurance claims to be delivered expediently and accurately between medical practice and payer.

The entry of data from these forms into a claims processing system is an expensive, labour-intensive task that is prone to transcription errors.

Our Solution

How we solve these challenges

By using Keito’s advanced data kapture technology for your medical claims processes enables you to accurately capture claims data from a wide array of forms, scale as and when required, and reduce the cost-per-claim.

Tailored to your specific business needs and requirements, Keito solutions ensures maximum possible ROI

Keito’s Capture technology automates the capturing of information from paper and digital image medical claims – helping you process claim forms more accurately and cost-efficiently. It supports all standard claim forms, including HCFA/CMS-1500 and UB-04/CMS-1450, as well as claim attachments.
Keito’s precision data extraction technology couples with automatic validation rules to ensure that your and your customer’s billing, accounting and healthcare claims management applications record accurate data – with minimal human involvement. Plus, it provides a streamlined claim entry process that gives you greater control over the entire claims processing workflow and with much greater transparency.
Incorporating advanced data capture technology into your healthcare claims processing workflow has an immediate and positive impact on your business.
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