Automatic Analysis of incoming Mail at DKV

Project stage II: Pilot system data availability
Project period: Juli 1999 to December 1999

Original situation	After the successful implementation of  project stage 1, DKV requested that the maximum possible amount of data concerning incoming receipts be made available. Above all, invoice data (GOÄ/GOZ tables) stemming from out- and in-patient doctors' invoices, hospital invoices and dentists was requested for a wide range of applications:  professional assessment of the invoice (partly) automatic payment health management Up to this point, the immense labour required to determine such data manually rendered such assessment impossible.
Requirements	The project group was given the task of developing the technical and organisational requirements for a system which would fulfil the following specifications: The availability of all important data arising from providers' invoices, especially  provider accountancy firm total sum and date of invoice complete GOÄ/GOZ-table smooth integration into DKV's computer system. This includes a link with payment a link with GOÄ validation-software  availability of data in a data pool for access using datamining and data darehouse software  the ability to carry out manual indexing of partly recognised or unrecognised data Beyond the task of developing this plan, the project group was given further tasks:  the identification of data users within DKV  fine tuning and coordination with other projects the development of a functioning pilot system
Project description	Under the leadership of IBM Deutschland, project work began in July 1999 with an analysis of the status quo on the basis of which the various stipulations made by DKV were identified. Each requirement was studied in detail to assess whether and to what level of quality the data could be automatically made available. In parallel, a pilot system was built up, in which the gained experience could already be technically applied. The pilot's entire capacity was tested in November 1999 according to plan. Leading on from this pilot,an introduction-plan for an automatic data recognition system based on PROSAR-AIDA is currently being drawn up. It will include the organisational consequenses for DKV as well as the necessary changes and additions to the connected data processing system.  Implementation of this concept is foreseen in the year 2000.
Publications	Lectures: Lecture at the DMS 1999,Alf Jarosch (IBM) Presentation transparencies and/or handouts are available from the lecturer.
Contacts	at DKV: Jürgen May, telephone +49-(0)221-578-2864 at IBM: Ronald Fritz, telephone +49-(0)30-3115-1641 at Paradatec: Bernt v. Nottbeck, telephone +49-(0)531-23815-0