VixisEOB

Modeled Case Study

From Paper EOB to Posted Payment

A modeled case study of automated EOB capture, interpretation, claim matching and EMR posting with VixisEOB™.

  • U.S.-Based
  • Zero Outsourcing
  • 24/7 Support
  • ~90%ModeledPotential reduction in hands-on labor
  • 165 hrsModeledStaff time saved per month
  • $4,125ModeledMonthly labor capacity at $25/hr

These are modeled figures, not measured customer results. Every number on this page is arithmetic on four stated assumptions: 100 posting items per business day, 22 business days per month, 5 minutes of staff time per item today, and 30 seconds of average human attention per item afterwards. Your practice is not this practice. Read the methodology.

The Challenge

Payment posting is repetitive, necessary and expensive. In a manual workflow, staff must read each EOB, locate the correct patient and claim, interpret service-line payments and adjustments, enter the transaction into the EMR, reconcile balances, and identify exceptions that need follow-up.

Modeled practice: 100 EOB and claim posting items per business day, 22 business days per month, with an average of 5 minutes of staff time per item.

Before VixisEOB™

~183.3 staff hours a month

Manual review, matching, posting, adjustments, reconciliation and exception routing.

With automated VixisEOB™

~18.3 staff hours a month

An average of 30 seconds of human attention per item, concentrated on validation and exceptions.

Modeled result: about 165 staff hours returned to the practice each month.Modeled on the assumptions above. Not a measurement of customer results.

The VixisEOB™ Workflow

Instead of making staff re-key information from paper or scanned EOBs, VixisEOB™ is designed to turn the document into an actionable payment-posting workflow. The objective is straight-through processing for high-confidence items, and human review only where the system detects an exception.

  1. Scan / Ingest

    Staff scans or uploads the EOB. The document enters the VixisEOB™ workspace.

  2. Read & Structure

    VixisEOB™ extracts payer, patient, claim, service-line, payment, adjustment, patient-responsibility and reason-code data.

  3. Match

    The extracted EOB data is associated with the appropriate claim or ERA workflow.

  4. Validate

    Business rules and confidence checks determine whether the item is ready for automated posting or requires review.

  5. Post

    Where a tested EMR integration supports it, approved payment and adjustment data is posted back to the EMR automatically.

  6. Route Exceptions

    Ambiguous items, denials, underpayments or integration failures are sent for human review and can flow into the broader CareVixis resolution workflow.

The VixisEOB™ Application

EOB review and posting workspace — scanned EOB review, extracted posting data, confidence checks, and posting and task workflows.

Sample data
The VixisEOB posting workspace: counts of scanned EOBs, items needing review, items ready to post and items posted, beside a scanned sample EOB, the values extracted from it with a confidence check, and two posting paths — automatic posting into the CareVixis suite and guided posting tasks for another EHR or practice management system. Sample data.

Interface illustration. All data shown is sample data for representational purposes only, as the workspace itself states. The patient, the payer, the practice, the claim numbers and every amount are illustrative: not a client account, not real patient data, and not a real payer. Automatic posting is shown for the CareVixis suite; any other EHR or practice management system receives guided posting tasks.

Modeled Business Impact

The value is not simply reading the document. It comes from removing the repetitive human steps between receiving an EOB and accurately updating the practice’s system of record.

Modeled, not measured. Arithmetic on the assumptions stated above.
MetricManual workflowVixisEOB™ model
Daily posting items100100
Average human time per item5 min30 sec
Human time per day8.3 hrs0.8 hrs
Human time per month (22 days)183.3 hrs18.3 hrs
Human time saved per month—165 hrs
Labor capacity at $25/hr—$4,125 per month
Annualized labor capacity—$49,500 per year

Swipe the table to see it all

$25 per hour is an assumed loaded labor cost for the practice’s own staff. It is not a CareVixis fee. See CareVixis pricing.

What the Practice Gets Back

  • Time

    Staff can focus on exceptions, denials, patient issues and higher-value revenue-cycle work instead of repetitive data entry.

  • Consistency

    Structured rules can reduce variation in how routine EOB transactions are handled.

  • Visibility

    The workflow can distinguish items that posted successfully from items requiring intervention.

  • Scalability

    As EOB volume grows, the practice does not have to increase manual posting labor at the same rate.

The Strategic Difference

Traditional workflow

  1. Receive
  2. Read
  3. Search
  4. Interpret
  5. Key
  6. Adjust
  7. Reconcile
  8. Investigate

VixisEOB™ workflow

  1. Scan
  2. Extract
  3. Match
  4. Validate
  5. Auto-Post
  6. Route Exceptions

The goal is not to help staff type EOBs faster. The goal is to remove routine EOB typing altogether.

Modeled Savings Across Different EOB Volumes

The modeled impact scales with volume. The table uses the same assumptions throughout: 5 minutes of manual staff time per EOB or claim posting item, 30 seconds of average human attention with automated VixisEOB™ posting, 22 business days per month, and $25 per hour loaded labor cost.

Modeled, not measured. Every cell is arithmetic on the assumptions above.
EOBs a dayManual hrs / mo.VixisEOB™ hrs / mo.Hours saved / mo.Modeled monthly labor capacityModeled annual labor capacity
1018.31.816.5$412.50$4,950
2036.73.733.0$825$9,900
3055.05.549.5$1,237.50$14,850
4073.37.366.0$1,650$19,800
5091.79.282.5$2,062.50$24,750
60110.011.099.0$2,475$29,700
70128.312.8115.5$2,887.50$34,650
80146.714.7132.0$3,300$39,600
90165.016.5148.5$3,712.50$44,550
100183.318.3165.0$4,125$49,500

Swipe the table to see it all

At 50 EOBs a day the model returns about 82.5 staff hours a month. At 100 a day that grows to about 165 hours a month.

Methodology and Important Qualification

This is a modeled case study, not a claim of measured customer results. The model assumes 100 EOB and claim posting items per business day, 22 business days per month, 5 minutes of manual processing per item, and 30 seconds of average human attention per item after automation.

Actual savings will vary based on EOB complexity, the number of service lines, payer behavior, EMR integration capabilities, automation confidence thresholds, exception rates, staffing costs and practice workflow.

CareVixis will replace these assumptions with measured production data as VixisEOB™ deployments mature.

See What VixisEOB™ Can Do for Your Practice

Stop manually re-keying routine EOB information. Scan the EOB, let VixisEOB™ structure and match the payment data, and automate supported posting workflows while routing exceptions for review.

Free trial: 25 pages, one time. No credit card required. Scan your own EOBs end to end — reading, review, posting tasks and denial workbooks. A business associate agreement is part of setting the account up, because the trial runs your own EOBs.