Get Started
Back Case Study

EOB to 835 Converter

An Explanation of Benefits (EOB) to 835 file converter is a software tool that transforms Explanation of Benefits (EOB) documents into Electronic Remittance Advice (ERA) files in the standard ANSI X12 835 format.

Problem

For a dental company on the West Coast, handling both paper and electronic Explanation of Benefits (EOBs) was extremely cumbersome. These EOBs had to be manually converted into 835 files before being uploaded to the internal system for tracking claims and payments. This manual conversion process took up a significant amount of time for doctors, which could have been better spent attending to more patients.

Solution

By utilizing the UI Path tool and implementing AI/ML scripts, we successfully automated the conversion of electronic Explanation of Benefits (EOBs) into 835 EDI files. The EOB to 835 file converter extracted key information from EOB documents—such as patient demographics, service details, and payment information—and transformed it into the structured format needed for 835 files. This automated process allowed healthcare providers to streamline insurance payment processing, reconcile claims, and enhance their revenue cycle management workflows.

Technologies Used

c-sharp
uipath
sqlserver

The Overview

Despite its specialized nature and close integration with specific systems and internal websites, the automation solution had a significant impact on the timely posting of information. It accelerated the processing of Explanation of Benefits (EOBs), improving claims management. We were pleased to find that healthcare providers using this tool saw a substantial reduction in time spent on unnecessary tasks, leading to increased overall productivity.

More Case Studies

Let's build awesome things together

Virim is an agile software development company proudly taking ownership of every project like the owner, renowned for crafting high-quality applications. Since its operations in 2016, Virim has successfully executed a diverse array of projects for clients spanning from very small companies to industry giants such as US Oncology, McKesson, Bank of America, academic institutions, international airports and non-profit organizations.

Let's end your search for Engineering Partner here

With over ten years of experience and many successful projects completed, we know how to help you get your goals accomplished.

0

Successful Projects

0

Years Development Experience

0

Experienced Engineers