HIPAASOC2

Process Health Insurance Card Extractor — HIPAA Compliant

Healthcare organizations process thousands of documents daily. Manual processing delays patient care and increases compliance risk.

88
Fields Extracted
120s
Max Processing
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What This Template Does

AI-powered extraction using gemini-2.5-flash. Part of 113 production-ready templates.

Capabilities

  • Healthcare Extraction
  • Insurance Card Processing
  • Eligibility Verification
  • Insurance
  • Insurance Card

Output Schema

{
  "$schema": "http://json-schema.org/draft-07/schema#",
  "title": "Health Insurance Card Extraction Schema",
  "description": "Schema for extracted health insurance card data including member information, plan details, and coverage data",
  "type": "object",
  "required": [
    "document_type",
    "insurance_company",
    "plan_info",
    "member_info"
  ],
  "properties": {
    "document_type": {
      "type": "string",
      "const": "insurance_card",
      "description": "Document type id
...

Quick Start

$ pip install doclayer
$ doclayer process document.pdf --agent healthcare.insurance-card

See It In Action

Real extraction example showing input document and structured output.

Input Document
===============================================================================
                    BLUECROSS BLUESHIELD OF ILLINOIS
                         MEMBER IDENTIFICATION CARD
===============================================================================

                              [BCBS LOGO]
                         BlueCard PPO Nationwide

-------------------------------------------------------------------------------
                              FRONT OF CARD
------------------
Extracted Data
{
  "document_type": "insurance_card",
  "card_side": "both",
  "insurance_company": {
    "name": "BlueCross BlueShield of Illinois",
    "logo_identified": true,
    "parent_company": "Health Care Service Corporation",
    "plan_administrator": null
  },
  "plan_info": {
    "plan_name": "BlueCard PPO Nationwide",
    "plan_type": "PPO",
    "group_number": "GRP-00125847",
    "group_name": "Midwest Tech Solutions Inc",
    "plan_id": null,
    "network": "BlueCard PPO",
    "effective_date": "2024-01-01",
    "termination_date": null
  },
  "member_info": {
    "member_id": "XEA987654321-01",
    "member_name": "Sarah M Johnson",
    "relationship": "subscriber",
    "date_of_birth": null,
    "suffix": "01"
  },
  "subscriber_info": {
    "subscriber_id": "XEA987654321",
    "subscriber_name": "Sarah M Johnson",
    "ssn_last_4": null
  },
  "coverage_details": {
    "medical_coverage": true,
    "pharmacy_coverage": true,
    "dental_coverage": false,
    "vision_coverage": false,
    "mental_health_coverage": true
  },
  "copay_info": {
    "office_visit": "$25",
    "specialist": "$50",
    "urgent_care": "$75",
    "emergency_room": "$250",
    "rx_generic": "$10",
    "rx_preferred_brand": "$35",
    "rx_non_preferred": "$70",
    "rx_specialty": "20%"
  },
  "pharmacy_benefit": {
    "rxbin": "004336",
    "rxpcn": "ADV",
    "rxgroup": "RX1234",
    "rxid": "XEA987654321",
    "pbm_name": "CVS Caremark"
  },
  "claims_info": {
    "claims_address": "BlueCross BlueShield of Illinois, P.O. Box 805107, Chicago, IL 60680-5107",
    "payer_id": "00060",
    "claims_phone": null
  },
  "contact_info": {
    "member_services_phone": "1-800-538-8833",
    "provider_services_phone": "1-800-972-8088",
    "nurse_line": "1-800-299-0274",
    "mental_health_phone": "1-800-851-7498",
    "website": "www.bcbsil.com",
    "app_name": "Blue Access for Members"
  },
  "medicare_specific": null,
  "medicaid_specific": null,
  "network_identifiers": {
    "blue_cross_prefix": "XEA",
    "suitcase_logo": true,
    "national_network": "BlueCard Program"
  },
  "authorization_requirements": {
    "preauth_phone": "1-800-635-4837",
    "preauth_required": "Inpatient hospital admissions, Outpatient surgery, Advanced imaging (MRI, CT, PET), Durable medical equipment over $500, Home health services",
    "referral_required": false
  },
  "validation": {
    "card_appears_valid": true,
    "all_key_fields_present": true,
    "id_format_valid": true,
    "dates_reasonable": true
  }
}

Example front and back of PPO health insurance membership card. Demonstrates extraction of member identification, copay structures, pharmacy benefits, and contact information.

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Frequently Asked Questions

What documents can Health Insurance Card Extractor process?

The Health Insurance Card Extractor template processes healthcare documents including various formats and layouts. See the instructions for specific document types supported.

How accurate is the Health Insurance Card Extractor extraction?

The Health Insurance Card Extractor template uses Gemini 2.5 Flash for high-accuracy extraction. Results include confidence scores for each field.

Can I customize the Health Insurance Card Extractor template?

Yes, you can modify the extraction schema, add custom fields, or adjust the instructions to match your specific requirements.

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