Why Kofax Claims Agility?
Automate medical claims processing - Digitizes claims, accurately extracting and validating all subscriber, provider, and medical information contained in service lines against medical code sets, NUBC & NUCC rules, insurer-specific rules, and master subscriber and provider data sources.
Smart multichannel claims capture and validation - Captures all paper-based claims and digitizes the information for automated processing and verification so only ‘clean claims’ are delivered downstream.
System of record integration - Integrates with systems of record (data warehouses, claims systems, and data stores) to accurately validate and process subscriber and provider data.
Best practice operational analytics - Applies best practice workflow to all claims ensuring medical coding reviews and approvals conform to policy while providing visibility of claims processing performance to identify bottlenecks and cost-saving opportunities.
Improve visibility and control - Add Kofax Insight to gain end-to-end analytics that accelerate the review cycle and streamlines decision making and payment processes.