OCR Software and Solution for Explanation of Benefits (EOBs)

Typical System and Application

Such clients provide data settlement services in the medical industry. EOB forms help small and medium medical facilities check data on Explanation of Benefits, and verify whether the medical costs paid by the health insurance are correct.

The system archives records of patients’ relevant medical data and at the same time, imports all kinds of fees and insurance qualification information to the database for search purposes. In this way, the medical institutions save manual labor costs, insure all fees are properly collected and greatly enhance cash flow.

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OCR Functions & Problems

Functions: OCR is responsible for the recognition of patients’ information and medical costs on EOB forms.

Problems: EOB forms are variable and have always been a blocking point for electronic form recognition. Existing form SDKs often have difficulty achieving the client’s demand of recognition accuracy or are often too complex and time consuming for operators to use. So the task that faced ExperVision was how to customize a solution matched with the client’s workflow while meeting the highest of accuracy demands. In order to achieve the task we needed to perform research according to real samples. The problems encountered are summarized as below:

  • High recognition rate requirement
  • Accurate fields location

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Our Solution

After thoroughly analyzing the image sample set, we developed the following solution:

  • Drew up a template solution according to sample set and provide engine tuning service
  • Analyzed the relationship logic of  the data to confirm and check amounts.

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