Explanation of Benefits Survey

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	Explanation of Benefits Survey
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Explanation of Benefits Survey - EOB Processing Questionnaire

Please complete this brief survey to determine how much money your organization can save using the XPlain EOB Processing Engine, and to enter to Win a FREE Canon DR-2080c Scanner (List Price $1,195)!

*All Fields are Mandatory

Name:

Company:

Phone:

Email:

What is the approximate volume of EOB’s on an annual or monthly basis?

What is the average number of pages per EOB?

1-3

3-5

Are there any peak periods that affect EOB processing volumes?

Yes	No

What percentage of EOB’s are received Electronically?

1-25%

26-50%

51-75%

76-100%

What are the data fields that are currently manual data entered from the EOB’s? (Check all that apply)

Amount	Patient
Insured	SSN
ID #	Adjustment
Rejection Code	Total
Other

Briefly describe the current process and workflow (follow an EOB through the system from receipt):

How long does it currently take to process EOB’s once they are received in the mailroom?

How many different Insurers does your organization deal with on an annual basis?

How many people are currently involved with EOB processing in your organization?

Digital Storage Solutions is a leader in document management solutions, document conversion, & document imaging. Providing our customers with the products and services they need to access any document, at anytime, from anywhere.