Lexmark solutions for medical claims processing enable health insurance payers and other processors of medical claims such as P&C insurers that process injury claims (e.g., worker’s compensation and auto bodily injury claims), and third-party processors to transform the critical First Mile™ of information-intensive customer interactions. It can shorten claims processing times, reduce the cost of claims management, adapt to changing compliance requirements and be more responsive to customers (subscribers) and to providers.
With Lexmark, all incoming claims correspondence is captured electronically and classified as soon as it enters the organization. Utilizing touchless processing, all relevant data is extracted and validated so that complete and correct claims are routed for downstream processing and claims with errors are routed for review, correction or exception processing. The solution provides customer-facing employees, knowledge or validation workers, claims specialists and service organizations with a powerful scan-to-process platform that is specifically designed to speed claims processing, improve accuracy, and cut costs.
Claims and supporting documents such as photos or police reports can be captured from any source – including mobile devices, internet portals, desktop scanners and MFPs at the Point of Origination™ where customer facing interactions actually occur. The solution then extracts and ensures the validity of the content, facilitates the resolution of exceptions and acquisition of trailing documents, and uses dynamic workflows to ensure that the claims process is completed in a timely, accurate and cost effective manner to optimizing the customer experience.
By scanning at the Point of Origination, Kofax enables insurance carriers to integrate field resources, agents, brokers, and third-party service organizations into the claims process. This increases data accuracy and quality, closes the information gap between disparate departments, processes, and functions, and dramatically enhances information availability to improve business decisions based on insurance-specific rules and knowledge bases.
Initiate straight-through data processing and eliminate error-prone manual data entry for greater data accuracy, faster processing, enhanced information accessibility and reduced processing costs.
Secure your critical documents and information with a unified content system that minimizes human touch-points and the risk of data breaches while implementing secure, audit-proof document archiving and retrieval.
Reduce staffing requirements while handling more claims by automating manual processes to ensure continued savings as workloads fluctuate and the organization grows.
Energize and enrich customer relationships with world-class responsiveness and transparency by offering a higher degree of communication and responsiveness by including status updates, Explanation of Benefits, requests for required signatures and other communications to subscribers and providers.
Automate claims processing to reduce processing costs, speed claims resolution cycles, enhance customer service and scale across multiple lines of business.
Support claims from multiple points of customer engagement via smartphones and tablets to capture claims information from anywhere your providers and customers and roam.