Medicare Claims Processing
Millions of Americans depend on their Medicare coverage for significant and life-saving healthcare. Despite the essentiality of this social service, volume has made it difficult for the federal government to keep up with claims.
Medicare claims processing can be expedited with the use of automation to simplify and streamline the way constituent data is extracted and enriched from UB-04 or CMS 1450 forms—leading your federal employees to experience the power of higher quality data and streamlined operations.
Medicaid Claims Processing
Over 80 million Americans are currently Medicaid members. Each one of them rely on state and local agencies to process their claims for vital medical services. A delay in claims processing could result in unwarranted financial stress or delayed treatment that individuals are rightfully covered under Medicaid to receive.
The Hyperscience Platform streamlines how state and local agencies complete Medicaid claims processing, automating the ingestion and extraction of HCFA forms and supplemental documentation and transforming it into accurate, actionable data that can speed up the time-to-reimbursement.
Eligibility & Enrollment
With eligibility requirements changing daily and enrollment volumes showing no signs of slowing down, public sector organizations are eager to simplify their complex processes to streamline their operations.
The documents required to determine Medicare and Medicaid eligibility vary from state to state and person to person. Only the Hyperscience Platform has the flexibility required to allow agencies to inject diverse, complex document formats into the process and reliably extract, verify, confirm, or enrich that data to be utilized downstream in your eligibility and enrollment workflow.
