You are here : home > products > taskmaster eOBs

Datacap Taskmaster for EOBs

Accurate and Efficient Claim Data Input for Healthcare Providers

Hospitals and group medical practices – commonly called Providers - face a significant capture challenge every day: processing the remittance paperwork that accompanies payment from health insurance carriers, a document known as an Explanation of Benefits (EOB).

The challenge Providers face is the accurate processing of each EOB, to determine full payment has been received and the claim can be closed or if it must be resubmitted. Since EOB data is used to update the remittance processing system and patient medical records, there is often significant data entry involved.
What is an EOB?

When health insurance organizations – commonly called Payers – adjudicate a medical claim, they send the Provider payment with an EOB, which lists the details of each claim – patients, dates of service and a list of services provided. The EOB details the amount billed, and paid for each claim, with an explanation of the benefits covered. Depending on the business rules of the Payer, benefits can be denied simply because the wrong box was checked on a claim, or the wrong CPT code was used. If Providers don’t carefully evaluate each EOB, they potentially lose 10% to 20% of funds for which they are entitled.
Payers often bundle together claims for all members of a plan who have had services by the Provider within a given time period. As a result, EOB’s can be 100 pages or more, with hundreds of individual claims and thousands of service lines to audit.
Features
Verification Screen

Datacap Taskmaster for EOBs

Taskmaster for EOBs can streamline and automate EOB review and data entry, enabling you to quickly credit payments and identify claims that have not been fully paid. Taskmaster for EOBs can help your organization:
  • Increase data entry efficiency and accuracy
  • Ensure complete Remittance Advice transactions are delivered to your accounts receivable system
  • Balance EOBs to check received
  • Index EOB images for archival purposes
  • Successfully exports data in 835 format

Taskmaster for EOBs uses optical character recognition (OCR) to automatically read data from scanned EOB's, then uses validations and math calculations to total the transaction line items and compare them to each subtotal to ensure balanced patient information.

Taskmaster for EOBs provides productivity tools to speed processing and assure accurate data. Relieved of manual data entry tasks, EOB processors simply view a verification panel that enables them to quickly check each claim and service line. Shortcuts and hotkeys enable them to fix low confidence characters quickly and efficiently. Lines that do not balance are highlighted in red for an operator to quickly determine a course of action. Finally, all data is properly formatted for delivery to your remittance processing and patient records systems.

Taskmaster for EOBs automates the processing of EOB’s for Providers, significantly increases speed and accuracy, eliminates manual data entry, and saves your company money.

Screenshot of Taskmaster for EOBs Taskmaster for EOBs Verification panel displays captured data and calculated data alongside the claim image
to determine whether a claim has been fully paid.

Features

Complete, Ready to Use Solution
  • Support for single and muli-page variations
  • Attachment support
  • Predefined users, groups, stations
  • User productivity reports
  • Recognition runs as Windows "service"
  • Job Monitor displays current batch status
Single-Pass, Modeless Verification
  • One panel enables character correction, field validations and zooming on image
  • Data entry by document, including all pages
  • Super snippet image display
  • Automatic claim field highlighting
  • Designer for panel layout changes
  • Go to next problem character/field/claim/EOB key
  • Hotkeys for common operations
  • Send EOB to supervisor
EOB Identification
  • Assigns new fingerprint automatically to each new EOB format
  • Captures header information
  • Matches to master table with address and payment details
  • Locates line item details
  • Guarantees
Business Rule Configurability
  • Non-scripting interface for rule management
  • Library of 100's of standard rules
  • Applies global rules to all EOBs
  • Supports EOB-specific rules
  • Database access via ODBC
  • Math calculations on payments
  • Extensible rules via Microsoft VB Script
  • Runs multiple rules per field
Award-winning Taskmaster Platform
  • Complete single solution for data and document capture
  • Flexible, rules-based technology
  • Browser-based scanning and indexing
  • Easy to use and manage
  • Customizable interface
Data Delivery
  • Delivers EOB images with indexes to ECM system
  • Posts data directly to remittance system
  • Formats output under Rules control
  • Reports on system productivity
  • Deletes batches automatically after target system acknowledgement

back to top | request more information | contact Datacap | site map