The intelligent data capture system combs through millions of data points within IBills and medical records with inconsistent and varying formats in order to provide reliable, quality, easy-to-reference data, immediately available for expedited review in our TrueCost platform.
ROCR utilizes custom-built parameters for each Plan's provider relationships that adapt and become smarter over time, continually reducing the time it takes to get the file ready for a complete review.
Medical records are scanned and bookmarked by the technology making important areas of the record easily identifiable and available for quick reference during an audit. The bookmarking goes beyond sections and into key areas of the record that are required for faster determinations at a high rate of confidence.
With ROCR improving data quality before it ever hits claim audit, ClaimLogiq's review solutions can maintain our hallmark consistency and accuracy even at break-neck speeds. Our custom ROCR rules identify and translate quality issues at a higher intelligence level to decrease the chances of a re-request.
ROCR can cleanse all files sizes and types, not just PDFs. When providers' formats differ from one another, ROCR intelligently learns new formats and adapts to quickly load them into the workflow for even faster OCR TAT.
ROCR is powerful enough to cleanse and translate multiple files simultaneously. This means that IBills and medical records can be automatically fed to multiple analyst queues at once, ready for finalized review. This helps Plans scale review volumes and decrease timelines further when using ROCR + TrueCost.
ROCR is data-agnostic and can accept any file type, which means there's no back-and-forth about which files are required or supplied by Payers or Providers.
So long to scanned copies of medical records, PDFs with incorrect formatting, and searching for files through the abyss of paper storage. With ROCR, data is at your fingertips and easy to reference within TrueCost and wherever you're storing it digitally.
There's no need to manually type out data from a low-readable file. ROCR pulls distorted text and misaligned sections and transforms them into clear text at a higher capacity, then, cleanses it before import into TrueCost for finalized review.
With digital text, analyst teams are able to search for exactly what is needed, no matter where it is in the document. Stop spending inefficient time locating, cross-referencing, and checking lines and items for accurate matches, let ROCR find it for you.
ROCR is trained to keep an eye out for misspellings, inconsistent codes, and context clues -- because everyone can use a second pair of eyes when it comes to complex claims. The tool cleanses data before it ever hits your review dashboard so that there's no delay in referencing reliable data.
When there's a high level of confidence in your translated information, claim reviews are streamlined. Go from document upload to finalized audit with no hiccups when it comes to missing, misplaced, or mislabeled data. ROCR's got your back.
Itemized bills that can take days or weeks as an industry average are returned for amended payment in under 15-minutes with ClaimLogiq. Empowering Payers of all sizes to review more claims in less time and move complex hospital bill audits to prospective reviews.
Work with a team and technology that’s dedicated to finding your preferred solution through transparency, client-driven control, and customizations. Built to suit your claim review workflow needs, whether in-house, outsourced, or utilizing any combination of the two.
See for yourself how ClaimLogiq can adapt the highest level of payment integrity to all claim environments at any stage of the claim life-cycle. Recoup costs, avoid over-payments and grow relationships with stakeholders. Learn more by browsing our Resources, or contact us at the link below.