| Publisher | EMC | ||
|---|---|---|---|
| Format | Date added | 14 Jul 2006 | |
| Topics | Knowledge and Data Management, Data Acquisition - ETL | ||
| Downloads | 9 | ||
SCPMCS is a physician-governed management services organization providing fully delegated, managed care administrative and management services to physician group clients. Initially, SCPMCS was processing all claims in-house through a time-consuming manual data entry process, which took between 29 to 40 days to process a claim and enter it into the system. This unsatisfactory turnaround time inspired the organization to begin outsourcing part of the process. SCPMCS was facing high inaccuracy rate - an average of 74% of the claims processed had errors. To address their accuracy concerns and high costs associated with sending work out of house, SCPMCS decided to bring the operation back in-house by implementing Captivas ClaimPack, an automated claims processing solution.
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