With the help of rule-sets/manuals supplied by the client, Comat gained knowledge of the rules for processing different types of forms. The client transfers the scanned images of the claims in paper form. The operators then referring to the manuals, process the claims. Within a short time interval we were able to process claims at higher rates and accurately. EDMS, an indigenously developed document management system was used for claims that needed to be stored, retrieved and archived. EDMS helps storage and retrieval of these large volumes of paper and data that require access by several internal and external sources, while adhering to HIPAA regulations. With defined production processes, Comat was able to process the claims and deliver them within the scheduled Turn-Around-Time. Faster digitization & processing was achieved with a help of another indigenously developed application, which allowed the coders to digitize necessary data while looking at the scanned images. Over a period of time, we learnt the processing of different types of claims.

This along with several techniques and multiple level quality checkpoints as part of the process ensured consistent and high quality output.

Our pre-defined Management reporting formats ensured that the client got a daily Transmission Report giving the details of the claims processed that helped the client for easy verification. Comat used technology to assist in large document storage & retrieval while processing. This enabled the client to send large volumes of claims for processing. Our techniques followed to give a robust solution to the client. Comat processed more than 2000 claims with 99.98% accuracy level consistently. This led to more than 50% costs savings to the client. With a long term relationship established, Comat’s capabilities facilitated the client by processing Blue Cross & Blue Shield, Medicare, Medicaid, CIGNA, AETNA, HUMANA & UNITED HEALTHCARE and Workers Compensation claims for various states in US.