Automatically extract data from CMS-1500 medical claim forms
A $3.8 trillion industry runs on paper forms.
Did you know?
The $3.8 trillion health insurance industry runs nearly entirely on two paper-based claim forms: the CMS-1500 claim form, formerly known as the HCFA 1500, and the UB-04 claim form. These forms are responsible for the majority of the workers comp and medical insurance claims made each year.
Healthcare technology improves every day, but claims handling hasn't. Insurance companies rely on CMS-1500 forms to process workers comp and health insurance claims, but face:
Poor quality scans
Companies spend billions each year on third-party outsourcing companies and costly internal teams.
When forms look like this...
Information is tough to read
Data is not entered properly
Scans are skewed
Companies resort to...
While initially cost-effective, outsourcing to third-party claims handlers that pay low wages will lead to even more challenges.
As your company grows, so does your outsourcing bill
People get tired and quality suffers, with an estimated 10% margin of error
Claims processing times might lag due to workload backlog
In-house teams of Claims Assistants are incredibly expensive. While the quality tends to increase, costs increase as well.
Your payroll and growth will always scale at the same rate
Recruiting costs are high for this high-churn role
Claims are processed more slowly, which could result in penalties
You can cut your CMS-1500 processing costs by 50%, without adding to your payroll.
While checkboxes and missing info may fool RPA, Digital Coworkers know how to read, think, and make assumptions. In the case of missing information, your Digital Coworker will leverage other data to triangulate on the right answer and finish the transaction without a hiccup.
Securely decipher and extract sensitive data
Too many HCFA forms are submitted as pictures and take a great deal of intelligence to decipher. Our Digital Coworkers come with the knowledge required to read occluded and poor-quality text. Additionally, these bots are fully cloud-based for your security and data privacy needs.
Complete their training in days
A Digital Coworker doesn't require a massive technical implementation, so your IT department's budget and resources aren't necessary for implementation.
Your team can simply connect to our API, or we can leverage your system's user interface to enter CMS 1500 data -- so the Digital Coworker works exactly like the rest of your team.
What our customers say
The Digital Coworkers Roots Automation provides work in conjunction with our Team to optimize our medical claims process. By leveraging these bots, it provides the simplicity and scalability necessary to deliver best-in-class productivity to our clients. Additionally, we value the insights from the Roots Automation Team about our processes, of which, we integrate into our continuous improvement plans for our business practices in order to provide industry leading solutions.
Everything happened fast, our digital coworker ‘Roxy’ was trained and ready on time as promised! The team at Roots Automation have been a pleasure to work with! They’ve anticipated our questions and respond quickly to our asks and changes.
We appreciate all of Roots Automation's efforts to automate a challenging initiative with 500,000+ transaction requests annually. Our internal Center of Excellence was able to get to production faster and more cost-effectively than what we originally planned.