OSP Labs Drives Innovation By Creating Customized Claim Review System

SAN DIEGO - June 26, 2018 - PRLog -- Healthcare industry is dynamic and changing at a faster pace. The rapid changes to both diagnostic and procedure codes, variable needs of medical insurance organizations and billing errors posing greater challenges to existing medical claim management systems. OSP Labs has engineered a full-scale and tailored post-payment claim review model to enhance the claim processing workflow and ensure the accuracy of the adjudicated claims using patient authorization, Pokitdot APIs, and claim scrubbing tools.

"According to American Academy of Family Physicians (AAFP) recent report, the average claim denial rate across the healthcare industry is between 5 to 10%. Healthcare providers and patients need an automated and web-based claim review system to easily upload standard EOB forms, avoid claim errors and reduce turnaround time." said Brij, Project Manager at OSP Labs.

OSP Labs has built an automated web-based claim review system to simplify claim reviewing process. Their customized solutions help to perform Pokitdok X12 API Claim Status Call to export patient's data and validate the claim using the AETNA guidelines. The system extracts ICD-10 and CPT codes from uploaded EOBs and in-built claim scrubbing tool automatically validate these codes against specified Aetna guidelines, CDC and NCCI guidelines.

OSP Labs system has exponentially reduced the turnaround time for entire claim reviewing process to generate 100% error-free EORs.

About OSP Labs: (https://www.osplabs.com)

OSP Labs is a specialty provider of tailored healthcare software solutions to help the entire healthcare ecosystem including provider, payers and billing organizations. Being a tech expert, we strive to accelerate innovation in healthcare domain with a client-centric approach and advanced technologies.