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Vision Insurance Claim

Generate accurate and consistent data from any document, any layout.

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Insurance Document Intelligence

The world's best vision claim extraction

Streamline vision insurance claims with intelligent document processing. Extract exam results, prescription details, and eyewear purchases automatically. Reduce manual entry and accelerate member reimbursements.

vision-insurance-claim.pdf

Viewer

JSON

claim_number

VIS-2024-345678

claim_date

2024-02-20

policy_number

VSP-2024-567890

group_number

VISION-1500

patient_name

Amanda Wilson

patient_dob

1988-04-10

patient_member_id

AW880410

patient_address

234 Clear View Rd, Portland, OR 97201

provider_name

Dr. James Lee, OD

provider_npi

5678901234

provider_office

Portland Vision Center

date_of_service

2024-02-15

exam_type

Comprehensive Eye Exam

Services

1 item

code

description

charge

92004

Comprehensive eye exam, new patient

175

prescription

od_sphere: -2.25, od_cylinder: -0.50, od_axis: 180, os_sphere: -2.00, os_cylinder: -0.75, os_axis: 175

Materials

3 items

item

description

charge

Frame

Designer frames

250

Lenses

Progressive lenses

300

Coating

Anti-reflective coating

75

total_charges

800

{ "claim_number": "VIS-2024-345678", "claim_date": "2024-02-20", "policy_number": "VSP-2024-567890", "group_number": "VISION-1500", "patient_name": "Amanda Wilson", "patient_dob": "1988-04-10", "patient_member_id": "AW880410", "patient_address": "234 Clear View Rd, Portland, OR 97201", "provider_name": "Dr. James Lee, OD", "provider_npi": "5678901234", "provider_office": "Portland Vision Center", "date_of_service": "2024-02-15", "exam_type": "Comprehensive Eye Exam", "services": [ { "code": "92004", "description": "Comprehensive eye exam, new patient", "charge": 175 } ], "prescription": { "od_sphere": "-2.25", "od_cylinder": "-0.50", "od_axis": "180", "os_sphere": "-2.00", "os_cylinder": "-0.75", "os_axis": "175"}, "materials": [ { "item": "Frame", "description": "Designer frames", "charge": 250 }, { "item": "Lenses", "description": "Progressive lenses", "charge": 300 }, { "item": "Coating", "description": "Anti-reflective coating", "charge": 75 } ], "total_charges": 800 }

vision-insurance-claim.pdf

Viewer

JSON

claim_number

VIS-2024-345678

claim_date

2024-02-20

policy_number

VSP-2024-567890

group_number

VISION-1500

patient_name

Amanda Wilson

patient_dob

1988-04-10

patient_member_id

AW880410

patient_address

234 Clear View Rd, Portland, OR 97201

provider_name

Dr. James Lee, OD

provider_npi

5678901234

provider_office

Portland Vision Center

date_of_service

2024-02-15

exam_type

Comprehensive Eye Exam

Services

1 item

code

description

charge

92004

Comprehensive eye exam, new patient

175

prescription

od_sphere: -2.25, od_cylinder: -0.50, od_axis: 180, os_sphere: -2.00, os_cylinder: -0.75, os_axis: 175

Materials

3 items

item

description

charge

Frame

Designer frames

250

Lenses

Progressive lenses

300

Coating

Anti-reflective coating

75

total_charges

800

{ "claim_number": "VIS-2024-345678", "claim_date": "2024-02-20", "policy_number": "VSP-2024-567890", "group_number": "VISION-1500", "patient_name": "Amanda Wilson", "patient_dob": "1988-04-10", "patient_member_id": "AW880410", "patient_address": "234 Clear View Rd, Portland, OR 97201", "provider_name": "Dr. James Lee, OD", "provider_npi": "5678901234", "provider_office": "Portland Vision Center", "date_of_service": "2024-02-15", "exam_type": "Comprehensive Eye Exam", "services": [ { "code": "92004", "description": "Comprehensive eye exam, new patient", "charge": 175 } ], "prescription": { "od_sphere": "-2.25", "od_cylinder": "-0.50", "od_axis": "180", "os_sphere": "-2.00", "os_cylinder": "-0.75", "os_axis": "175"}, "materials": [ { "item": "Frame", "description": "Designer frames", "charge": 250 }, { "item": "Lenses", "description": "Progressive lenses", "charge": 300 }, { "item": "Coating", "description": "Anti-reflective coating", "charge": 75 } ], "total_charges": 800 }

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