Medical Claims

Streamline Medical Claims Processing with OCR

Eliminate manual data entry, improve accuracy, and ensure HIPAA compliance with our pre-configured OCR claims system capture.

Key Benefits

Our Medical Claims OCR has specifically developed a medical claims systems form scanning and processing solution for our healthcare partners.
Significantly speed up the healthcare claim processing time in your operation
Improved process productivity with faster response to your customers
Ability to extract additional data points from claim documentation to enable advanced processing and analytics for marketing, actuarial and claims departments
Hands-on caring support, in most cases issue is resolved in the same day
Quick integration into other EMR, EHR and practice management systems
Scalable system that is built to expand as you grow

Automate your workflow with our unique end-to-end solution

Where It’s Used

From Healthcare to hospitality, large corporation to middle size family business, our Face ID check technology serve multiple use-cases.

Healthcare

Pharmacy operations, asset tracking — frees employees from the counter and allows interaction with clients.

Insurance

Automated claims processing and document digitization — reduces manual entry, accelerates approvals, and enhances satisfaction.

Healthcare

Pharmacy operations, asset tracking — frees employees from the counter and allows interaction with clients.

Healthcare

Pharmacy operations, asset tracking — frees employees from the counter and allows interaction with clients.

High Level Architecture and Workflow

OCR Solutions is a powerful platform that automates every step of document and data processing — so your business can move faster, reduce errors, and stay compliant.
01

Input & Preprocessing

Documents are scanned or uploaded into the system. Auto-enhancement and cleanup are applied.
02

Data Extraction

OCR detects and extracts key field using AI and machine learning.
03

Validation

System checks data accuracy. Confident entries go forward; others are flagged for review.
04

Export & Integration

Data is transformed into standard formats like XML or CSV and then sent to connected systems like CRMs, ERPs, or analytics tools.
05

Continous Improvement

The system learns from user feedback and improves accuracy over time, enhancing performance with every interaction.

Why Choose OCR Solutions

Proven technology trusted by industry leaders, certified for the highest security and compliance standards.

High Accuracy OCR Engine

Advanced recognition for IDs, invoices, and complex forms.

Expert Support 24/5

Responsive team ready to assist with onboarding and customization.

Flexible Workflows

Adapt OCR processes to your unique business needs for maximum efficiency.

Easy Integration

Connect with your existing software through robust APIs and connectors.

Trusted Compliance & Security Standards

Microsoft Azure Logo
AICPA SOC Logo
HIPAA Compliant Logo

Press & Publications

Eyal Barsky of OCR Solutions On How To Use Digital Transformation To Take Your Company To The Next Level
Digital Transformation is not just a technical change, it’s a paradigm shift and many employees may see it as a threat to their livelihoods...
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The Evolution of Identity Verification in the Marketplace
In the month after the September 11, 2001 attacks on the World Trade Centers and the Pentagon, the US government passed the USA PATRIOT Act, a wide-ranging, well-documented law that
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OCR Solutions: How AI Is Used in Imaging Solutions
In the month after the September 11, 2001 attacks on the World Trade Centers and the Pentagon, the US government passed the USA PATRIOT Act, a wide-ranging, well-documented law that
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Remote Scanning Software Explained
Remote scanning has become a software solution for many businesses looking to scan from within a desktop session in Terminal Services, Citrix, and Windows. Simply put, remote
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FAQs

Everything you need to know about how our OCR technology works, its benefits, and how to make the most of it
How does OCR software handle low-quality or faxed medical claims?

OCR Solutions utilizes proprietary advanced image pre-processing algorithms to restore low-quality faxed medical claims. By applying automated despeckling, deskewing, and artifact removal filters, the engine isolates text from transmission noise and fax headers. This process recovers data from standard 200 DPI black-and-white faxes, significantly reducing the need for manual keying on legacy healthcare inputs . Medical claims are unique in the despeckling challenges they present which is why we have created our own clean up algorithms that actually get results. This is a feature we developed due to our 20 plus years in the industry and the results are undisputable.

Can you automate data extraction for UB-04 and CMS-1500 forms?

Yes, OCR Solutions processes UB-04 and CMS-1500 forms using fixed-coordinate template definitions rather than generic text recognition. This approach achieves 99% accuracy on field-specific data like NPI numbers and ICD-10 codes. Integrated logic engines automatically validate line-item math and provider data against external registries, ensuring claim integrity prior to adjudication .

What is "Red Dropout" in OCR and why is it critical for medical forms?

Red dropout is a specialized optical character recognition technique that eliminates the red background grid found on standard medical forms like the CMS-1500. By "dropping" the background color during the scan, the engine isolates the black handwritten or typed data, removing noise interference. This increases character recognition accuracy to over 99% on structured forms .

Is cloud-based OCR software HIPAA compliant?

Yes, cloud OCR is HIPAA compliant when deployed on SOC 2 Type II certified infrastructure. OCR Solutions secures Protected Health Information (PHI) using end-to-end encryption during transmission and processing. We execute comprehensive Business Associate Agreements (BAAs) and implement strict data retention policies, ensuring patient data is processed securely without unauthorized permanent storage .

What is the ROI of automating medical claims processing?

Automating medical claims processing reduces operational costs by up to 70% compared to manual keying. While human data entry averages 5-10 minutes per complex UB-04 form, Intelligent Document Processing (IDP) extracts and validates the same data in under 60 seconds. This efficiency enables healthcare organizations to scale volume without adding headcount, typically achieving ROI in 3 to 6 months .

What is medical claims software and how does it help?

Medical claims software automates the capture, validation, and submission of insurance claims. It helps increase processing speed, reduce administrative work, and improve accuracy, which leads to faster reimbursements.

How does medical claims processing software differ from traditional billing tools?

Unlike manual billing tools, medical claims processing software uses OCR technology to extract data automatically from forms like CMS-1500 and UB-04. This reduces the need for manual input and improves operational efficiency.

What should I look for in the best medical claims processing software?

You should look for high OCR accuracy, EHR integration, HIPAA compliance, real-time validation, and automation of routine billing tasks. Our platform includes all of these to support your revenue cycle.

Can your software handle medical claims billing for large practices?

Yes. The software is built to scale and works well for small practices and large billing services. It can process a high volume of claims quickly and securely.

Is this medical claims management software compatible with my system?

Yes. Our software integrates with most EHR systems, billing platforms, and clearinghouses. It supports custom workflows so you can continue using your existing tools.

How does medical insurance claims software improve claim approval rates?

It reduces manual errors, checks for missing or invalid data, and ensures compliance with payer rules. This increases first-pass acceptance rates and helps reduce delays or denials.

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