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News

GVS selects Autonomy's information capture and business process management solutions to process care payments

Autonomy : 19 August, 2008  (Application Story)
General Vision Services (GVS) has been selected Autonomy Cardiff's information capture and business process management solutions, as well as Meridio's enterprise records management solution, to automate the processing of hundreds and thousands of vision care claims and payments.
Digital Vision of Chicago, Illinois, USA was the systems integrator for the project.

GVS is one of the largest third-party provider of vision plans in the northeastern part of the USA, specialising in the vision needs of the Tri-State and retirement areas, servicing more than five million members in HMOs, corporations and unions. GVS is endorsed by the New York State AFL-CIO, New York City Central Labor Council and Long Island Federation of Labor as ‘The Preferred Vision Provider’. With Autonomy, GVS will be able to deliver timely and accurate processing of payment claims, enabling the vision plan provider to further streamline its internal operational processes; accelerate delivery of data and documents to backend IT infrastructure; reduce administrative costs; and eliminate data entry errors.

'One of GVS' primary objectives is to enable our clients to securely connect to our company for delivery of real-time data and processing online,' said Alan Cohen, president of General Vision Services. 'This requires that we eliminate the need for manually generated vouchers, leverage electronic vouchers to increase the speed and accuracy of claims processing, and provide the capability for electronically validating member's eligibility and pre-authorisation status. But more importantly, we must be in complete compliance with HIPAA and HCFA healthcare regulations. We view Autonomy as a strategic component of this objective.'

GVS has previously made an investment to reduce its paper-based processing by developing a web-based application for providers to submit claims. However, electronic claim processing must still be supported by faxed or mailed supporting documentation. Paper documentation received by GVS for the thousands of cases it processes must still be matched with electronic claims and processed as a package. After a competitive evaluation process, GVS selected Cardiff's information capture solution to begin the migration. With this solution, GVS can quickly and easily capture and convert all of its paper-based vision care claims and payment forms into digital data. GVS expects that the amount of paper shuffling and matching paper documents to cases to be eliminated as all paper documents will be converted to electronic forms and/or electronic document images. Data entry requirements will also be reduced because important documents will be scanned and optical character recognition will be used to extract critical data from documents.

With Cardiff's business process management solution, GVS will be able to design, deploy and automatically manage the routing, tracking and approval processes of claim forms and documents. It also adds automated data validation, attachments and workflow capabilities to allow GVS to support intelligent routing, tracking and secure digital approval over the Internet, allowing the process to be handled completely online. By usinging Cardiff, GVS is able to bring automation to both the paper and electronic aspects of its business processes.

In addition, GVS has also licensed Autonomy's enterprise records management solution to store and apply retention policies against images of all of the paper documents that it receives from clients, such as Explanation of Benefits statements (EOB) as well as immutable copies of all electronic forms used to track the processing of claims.

Darlene Cettina, GVS' chief financial officer said, 'We're excited about the prospect of eliminating our paper files as we transition to electronic document management. Indexed electronic documents can be accessed by any of our employees at any time faster than trying to reconstruct a paper trail. In addition, Autonomy's enterprise records management solution will allow us to eliminate significant amounts of physical paper storage costs, which will further help to streamline our operational expenses.'

'Given the number of payment claims processed by GVS, the reduction in the amount of paper the vision plan provider processes is critical to streamlining its operations, reducing cycle time and achieving overall satisfaction with clients,' said Mark Seamans, Autonomy Cardiff's chief executive officer. 'We are pleased that GVS has selected Autonomy as a technology partner to streamline its business operations as it pursues its mission to provide outstanding vision care to its clients.'

The Cardiff Intelligent Document suite automates all aspects of both paper-based and web-based document-centric business processes. It delivers significant cost reduction, accelerated processes and an improved customer experience by taking formerly static documents and enabling them to 'process themselves' through the introduction of embedded intelligence.
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