It is one thing to ensure every day mail is scanned and accounted for, however, when you are dealing with healthcare and dental insurance claims it is even more critical for a "sound" quality control process to be in place.

A Quality Control Process should resemble:

• Claims mail is sorted by the size of the envelope and then it is run through a letter opener.
• The claims mail is sorted by category such as a regular claim, claims with x-rays, claims with attachments and explanation of benefits.
• Each claim is inspected and checked for spacing for the batch number.
• Quality Control Test: A selection of files are scanned to provide a quality control test to highlight any issues with paper/print quality. This enables any enhancements to be made prior to scanning, ensuring scanning quality and limiting the need for re-scans.
• The batch number is digitally printed on each document by the scanner and imaged into the computer and recorded.
• Claims Department Staff review each claim scanned.  As these documents are being scanned, staff members log the batch numbers onto a daily volume log.
• Accurate sorting is critical, as it can make the difference in whether a patient will either be charged or reimbursed for services rendered.
• Q.M.P. (Quality Management Program): Every document and outgoing mail piece is checked for accuracy in sorting and for the correct postage. Throughout the scanning process spot checks are made to ensure that a high level of quality is maintained.

One of OMG's clients can receive 1500 to 4000 claims per day. With minimal staff members, these claims are still completed the same day they arrive.

 If you would like to learn more about OMG's scanning services please contact Deron Jett at 513-722-9990.