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Average Ratings 0 Ratings

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ease
features
design
support

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Write a Review

Description

Introducing the most effective and precise solution in the market for handling claims, the CyberSource Medical Claims Scanning Solution is a fully integrated system designed for HMO, PPO, TPA, or Self-Funded Organizations. This system is set up at your facility to facilitate automated data entry for various forms including CMS-1500, ADA-2006, UB-04, and enrollment documentation. By leveraging sophisticated "intelligent" features along with your specific business protocols, CyberSource adeptly identifies, verifies, and formats data extracted from medical claim submissions. Its Fuzzy Matching technology smartly searches through your member and provider databases to ensure accurate identification of data matches. Once the data is matched, it is used to confirm and rectify information on the medical claim prior to moving it to the adjudication stage. The synergy of top-tier OCR capabilities, your unique business guidelines, and efficient Fuzzy Matching contributes to outstanding precision in processing data from your medical claims forms, ultimately enhancing operational efficiency. Through this innovative solution, organizations can significantly minimize errors and streamline their claims processing workflow.

Description

NetOwl NameMatcher, recognized for its excellence in the MITRE Multicultural Name Matching Challenge, delivers unparalleled accuracy, speed, and scalability in name matching solutions. By employing an innovative machine learning framework, NetOwl effectively tackles the intricate challenges of fuzzy name matching. Conventional methods like Soundex, edit distance, and rule-based systems often face significant issues with precision, leading to false positives, and recall, resulting in false negatives, when confronting the diverse fuzzy name matching scenarios outlined previously. In contrast, NetOwl leverages a data-driven, machine learning-based probabilistic strategy to address these name matching difficulties. It automatically generates sophisticated, probabilistic name matching rules from extensive, real-world multi-ethnic name variant datasets. Furthermore, NetOwl employs distinct matching models tailored to various entity types, such as individuals, organizations, and locations. To add to its capabilities, NetOwl also integrates automatic detection of name ethnicity, enhancing its adaptability to the complexities of multicultural name matching. This comprehensive approach ensures a higher level of accuracy and reliability in diverse applications.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

ArcGIS
Elasticsearch
Google Maps
IBM Cloud
Kibana
MarkLogic
Palantir Apollo
SolrCommerce
Tableau

Integrations

ArcGIS
Elasticsearch
Google Maps
IBM Cloud
Kibana
MarkLogic
Palantir Apollo
SolrCommerce
Tableau

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

ComCom Systems

Website

www.comcomsystems.com/solutions/cybersourcemedical

Vendor Details

Company Name

NetOwl

Founded

1996

Country

United States

Website

www.netowl.com/name-matching-software

Product Features

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

Product Features

Data Quality

Address Validation
Data Deduplication
Data Discovery
Data Profililng
Master Data Management
Match & Merge
Metadata Management

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