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Automate CMS-1500 & UB-04 Processing with Genus ActiveClaim

Accelerate medical claims with AI-powered automation that validates data, routes tasks, and streamlines every step of the claims journey from submission to reimbursement.

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Faster, More Accurate Claims Processing

Genus ActiveClaim™ brings automation, insight, and control to every stage of the claims lifecycle. Purpose-built to accelerate processing, reduce manual effort, and adapt to your business needs, Genus ActiveClaim helps insurers deliver faster, more accurate outcomes with less complexity.

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Accelerate Claims with Intelligent Automation

  • Validates input from policyholders and providers automatically.
  • Reduces manual data entry and human error through intelligent capture.
  • Streamlines bill return and correspondence responses.
  • Frees staff to focus on higher-value exceptions and customer care.
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Gain Insight & Adapt in Real Time

  • Provides real-time productivity dashboards and reporting.
  • Identifies bottlenecks and process inefficiencies instantly.
  • Enables data-driven decisions with actionable analytics.
  • Adapts easily to policy or regulatory changes.
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Automate Every Step of the Claims Journey

  • Automates task assignments to keep work moving.
  • Uses dynamic supervision and routing to eliminate delays.
  • Escalates high-priority cases automatically for faster resolution.
  • Improves turnaround time and customer satisfaction.
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Streamline End-to-End Processing

  • Covers every stage of the bill ingestion and claims workflow.
  • integrates with existing systems like policy management and content services.
  • Ensures compliance and traceability throughout the process.
  • Scales easily to meet growing claim volumes.

Experience Intelligent Claims Automation in Action

Genus ActiveClaim combines advanced automation, intelligent data validation, and seamless system integration to help insurers process claims faster, more accurately, and with greater efficiency.

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Intelligent Process Governance

  • Gain visibility across every stage of claims processing.

  • Leverage data-driven insights to continuously optimize workflows.

  • Ensure compliance, transparency, and accountability at every step.

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Automated Bill Extraction & Validation

  • Automatically capture and validate data from CMS-1500 (HCFA) and UB-04 forms.

  • Eliminate manual review errors and reduce processing time.

  • Ensure every claim is accurate and ready for downstream adjudication.

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Adaptive Workflow Automation

  • Configure ingestion workflows to fit your existing system of record.

  • Easily adapt to business or regulatory changes without custom coding.

  • Scale automation to meet enterprise demands and evolving processes.

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Proactive Exception Management

  • Automatically identify and escalate exceptions before they cause delays.

  • Track aging items and outliers in real time.

  • Maintain process continuity and accelerate claim resolution.

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Seamless Core System Integration

  • Connect effortlessly with carrier core systems using Robotic Process Automation (RPA) and APIs.

  • Match claims with adjudication platforms and payment systems.

  • Ensure data accuracy across the entire insurance ecosystem.

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Consistent Core System Integration

  • Deliver clear, compliant communications through rebuilt templates.

  • Automate outreach using Customer Communications Manager.

  • Keep policyholders, providers, and internal teams informed faster.

White Paper

 

Discover how leading insurers are using automation and intelligent workflows to overcome the most common challenges in CMS-1500 and UB-04 processing.

In this white paper, Eliminating Choke Points in Medical Claims Processing, Genus Technologies explores how ActiveClaim, powered by Tungsten Automation TotalAgility, helps organizations streamline data capture, validation, and exception handling across the entire claims lifecycle.

Whether you're managing medical or workers' compensation claims, this white paper show how to break through the bottlenecks and achieve faster, more accurate outcomes with Genus ActiveClaim.

Read the White Paper.

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Connect With The Genus Team of Experts

Learn more or schedule a demo!