Case Study: Podiatry Plan achieves EDI compliance and automated CMS-1500 claims processing with ABBYY FlexiCapture

Leading Foot Care Program Ensures Compliance and Automates Processing of CMS-1500 Claim Forms with ABBYY

Podiatry Plan, a managed foot-care program serving nearly one million beneficiaries through 500+ podiatrists, was faced with a sudden requirement from a Medicare Advantage client to submit CMS-1500 claim forms via EDI within 60 days. With hundreds of paper claims arriving monthly and growing CMS compliance demands, manual data entry was not an option.

Working with WiseTREND, Podiatry Plan implemented ABBYY FlexiCapture in just two weeks to scan, extract, validate and export CMS-1500 data into FileMaker Pro for EDI submission. The solution automated several hundred monthly claims, eliminated manual entry, ensured regulatory compliance, delivered a short learning curve for staff, and scaled easily to accommodate future volume growth.

Podiatry Plan

Annie Scherer

Office Manager