IRVINE, CALIF.--(BUSINESS WIRE)--
Kofax® Limited (NASDAQ and LSE: KFX), a leading provider of smart process applications for the business critical First Mile™ of customer interactions, today announced that one of the United States’ largest healthcare maintenance organization (HMO) insurers has deployed Kofax TotalAgility™, Kofax Capture™, Kofax Transformation Modules™ and Kofax Medical Claims Add-on Pack™ to streamline claims processing, ensure compliance with current Health Insurance Portability and Accountability Act (HIPAA) requirements and interfaces with the company’s EpicCare software for electronic medical record (EMR) purposes.
Prior to implementing the Kofax solution, some of the insurer’s regions were processing medical claims manually while others used inefficient legacy systems to process more than two million claims per year. Kofax provided a single platform to standardize and speed processing, reduce costs, improve compliance and enhance its EMR repository. The platform’s ability to easily scale as needed for greater volumes of claims will help the company to eventually meet its enterprise wide and distributed operations.
“This insurer faced many challenges as a result of having inconsistent claims processing methods across the U.S.,” commented Howard Dratler, Executive Vice President of Field Operations at Kofax. “By using Kofax as their platform for Touchless Processing™, the customer improved data accuracy, reduced costs and ensured more consistent HIPAA compliance. The ability to manage exceptions in near real time has also provided additional business value to the insurer.”
Kofax TotalAgility provides an essential link between an organization's systems of engagement and systems of record to help increase responsiveness to customers, improve service levels, gain competitive advantage, and better manage and grow businesses while greatly reducing operating costs.
Kofax Capture provides industry leading scan-to-archive capabilities by scanning documents and forms to create digital images, extracting index data for retrieval purposes and delivering the images and associated data to a variety of repositories and applications.
Kofax Transformation Modules add document classification, page separation, data extraction and validation capabilities to Kofax Capture to drive robust capture-to-process applications.
The Kofax Medical Claims Add-on Pack is designed for Kofax Transformation Modules™ to support the standard CMS 1500 and UB-04 claims forms. It automatically detects and classifies the different types of claims forms, including the CMS 1500 (05/08), CMS 1500 (02/12) and UB-04 forms, and uses a variety of image registration techniques, OCR engines and data locators to automatically read and extract data from any of 170-400 potentially populated fields on the CMS 1500 and UB-04 forms.
The sale closed during the fourth quarter of Kofax’s fiscal year 2014 and included over $260,000 in software license revenue.
About Kofax
Kofax is a leading provider of smart process applications for the business critical First Mile of customer interactions. These begin with an organization’s systems of engagement, which generate real time, information intensive communications from customers, and provide an essential connection to their systems of record, which are typically large scale, rigid enterprise applications and repositories not easily adapted to more contemporary technology. Success in the First Mile can dramatically improve an organization’s customer experience and greatly reduce operating costs, thus driving increased competitiveness, growth and profitability. Kofax software and solutions provide a rapid return on investment to more than 20,000 customers in financial services, insurance, government, healthcare, business process outsourcing and other markets. Kofax delivers these through its own sales and service organization, and a global network of more than 800 authorized partners in more than 75 countries throughout the Americas, EMEA and Asia Pacific. For more information, visit kofax.com.
© 2014 Kofax Limited. Kofax and Kofax TotalAgility are registered trademarks and First Mile, Kofax Capture, Kofax Transformation Modules, Kofax Medical Claims Add-on Pack and Touchless Processing are trademarks of Kofax Limited.
Source: Kofax
Copyright Business Wire 2014