Document Processing Solution for Dental Claims
Life SciencesBusiness Impacts
45M+
EDI transactions processed annually
40% to 1%
reduction in need for human review
98%
accuracy in processing claim forms
Customer Key Facts
- Location : California
- Industry : Healthcare
Problem Context
The client, a leader in building Electronic Data Interchange solutions for the American dental industry, processed nearly 45 million EDI transactions, consisting of more than 30 million dental claims annually. They sought to build Textract based document processing solution to automate the processing of their dental claim forms. To achieve this, they engaged with Quantiphi, with a focus on leveraging our proprietary intelligent document processing solution, QDox, to facilitate the extraction of data fields from the American Dental Association claim forms through a collaborative effort in developing a document processing solution on AWS.
Challenges
- Handling different types of the dental claim forms
- Data field extraction from claim forms with low image resolution
- Extracting missing teeth information from the dental claim forms
Technologies
AWS EC2
AWS Lambda
AWS Textract
Python
Amazon S3
Route 53
Automated extraction of data fields from dental claim forms
Solution
Quantiphi used QDox, its document processing platform, to extract information from the ADA claim and statement forms and provide confidence scores. Besides maintaining and managing the platform, Quantiphi continues to provide responsive, accurate, and scalable support for additional documents by continuously improving the AI models used in the solution.
