Medical Claims Software

Written by Kimberly Clark
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The number of medical claims being submitted to healthcare plans by physicians is on a steady rise. At the same time, the rules that govern claims transactions are becoming increasingly complex. In an effort to simplify the process, many doctors are using medical claims software to file their claims.

The features included in medical claims software packages vary from product to product. But as the government pushes the healthcare industry to transmit all of its healthcare claims electronically, the competitive software industry has eagerly responded to their needs. As a result, most medical claims software has the ability to digitally transmit regulatory compliant claims data.

Data Input

Thus for many medical providers, the deciding factor becomes the method used to enter the medical claims data into the software. In an effort to minimize data entry mistakes, many doctors' offices are opting to use medical claims software that is combined with optical character recognition (OCR) hardware. The OCR technology is first taught to recognize certain groups or arrangements of text, symbols, and numbers. It then can be used to scan a document and convert written data into digital data that can be understood by computer software.

For those doctors' offices that have staff dedicated to inputting the claims data, there are several products which can streamline their workload. This type of software generally has a standard user-friendly front-end and a customizable back-end storage database. Once populated with payer specific information, the medical provider's support personnel can easily submit compliant claims with a few clicks of the mouse.


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