ClaimsPro™, our HIPAA compliant proprietary pre adjudication workflow engine allows us to efficiently manage the entire data capture process. ClaimsPro™ tracks batches send to GeBBS for data capture work (paper or image, manual entry or OCR), keyers, OCR technicians and historical information about our business processes. Additionally, ClaimsPro™ automates the processes of allocating and distributing work to a large number of keyers, processing and sending work to clients. Its transformation module generates a

HIPAA compliant 837 or NSF file or can be configured to generate a customized output file that will work with your claims system. Furthermore, ClaimsPro™ can be manipulated and tailored to meet the exact requirements of each customer. Following is a breakdown of the main components and basic processes of ClaimsPro™.

Key verification of client designated critical fields

Key verification and forced magnification of the subscriber number

Data validation or consistency edits to ensure that numeric fields contain only numeric characters, and that date fields contain only valid dates and so forth

Field relationship edits, including span dates of service edited against units of service, span dates of service edited to periods more than one month long or dates more than one year old and edits that check valid modifiers for specific procedure codes

Other relationship edits including procedure code or diagnosis codes to sex or age criteria and procedure to provider type edits