Healthcare Providers · Health information management

Messy outside records in. Usable EHR content out.

Outside records flood acute and ambulatory care organizations from every direction, fax, eFax, portals, email, scanning and file drops, often as mixed packets and merged PDFs. DataBank helps HIM teams standardize document types and indexing, route only true exceptions for review, and deliver usable content into existing workflows.

Document types we handle

  • Outside medical records
  • Fax and eFax packets
  • Scanned referral documents
  • Merged multi-patient PDFs

The short answer

How can HIM teams reduce rework from messy outside records?

HIM teams reduce rework by automatically classifying and indexing outside records as they arrive, across every channel they come in on, and routing only genuinely uncertain items to a person for review. Outside records handled this way become usable EHR content on arrival, instead of creating days of manual splitting, typing and re-indexing before anyone can file them.

Outside records indexing automation is the capture, classification and indexing of outside medical records, arriving as fax, eFax, portal uploads, email attachments, scans and file drops, so they’re usable in the EHR without manual splitting and re-indexing.

Who it’s for

HIM leadership and health information management teams at acute and ambulatory care organizations.

What changes

HIM staff review only true exceptions, instead of touching every outside record that arrives.

Proof

See the real indexing-accuracy and savings results this approach already delivers. See the results

A mixed packet, Monday morning

Where does outside records processing break down?

It breaks down the moment a mixed packet lands in the queue, before anyone even knows what’s inside it.

A fax arrives overnight: 40 pages from a referring specialist’s office, several patients and several document types merged into one file. Before anyone can file a page of it, an HIM staffer has to open it, split it apart, and figure out what each page actually is.

By the time that packet is sorted and indexed, two more have arrived behind it, one from a portal upload, one scanned at the front desk. Each one needs the same manual splitting and typing, and no two packets look quite the same.

Record volume keeps growing. The HIM team doesn’t. A clinician requests a specific outside record ahead of an appointment, and someone has to go hunting for the right pages inside a backlog that’s growing faster than anyone can clear it.

The document pattern

What does the outside records pattern look like?

Every packet moves through three stages: mixed-packet intake, inconsistent typing and indexing, and a backlog that outpaces staffing. Each stage has a friction point, and each friction point has a downstream cost.

Stage 01

Mixed-packet, multi-source intake

Friction

Outside records arrive as fax, eFax, portal uploads, email attachments, scans and file drops, often as mixed packets and merged PDFs with several document types bundled into one file.

Cost: Manual splitting

Every bundle has to be split and sorted by hand before HIM staff can even begin filing it.

Stage 02

Inconsistent typing and indexing

Friction

Document types and indexing vary record to record and team to team, with no single consistent standard applied as records come in.

Cost: Rework and exceptions

Variability turns into extra touches and a growing exception queue, not a one-time fix.

Stage 03

Backlog outpaces staffing

Friction

Outside record volume keeps rising faster than HIM departments can hire or train staff to process it manually.

Cost: Care delay

Backlogs grow faster than staffing ever could, and care teams wait while someone hunts for the right pages.

At every stage above, a person is still splitting and typing the packet by hand.

Why now

Why is outside records processing harder to keep up with right now?

Record volume is rising while the workforce that processes it by hand is shrinking.

52%Of HIM departments report unfilled positions, contributing directly to incomplete or inaccurate patient records

A separate 2023 NAHDA survey found 64% of HIM departments report being understaffed. Source: AHIMA, NAHDA health information workforce surveys.

HIM staffing isn’t keeping pace with record volume

A 2023 NAHDA survey found 64% of HIM departments report being understaffed, and AHIMA reports 52% have unfilled positions, contributing to incomplete or inaccurate patient records in 31% of cases.

Source: AHIMA, NAHDA health information workforce surveys.

PHI moving across teams raises the traceability bar

HIPAA’s minimum necessary standard requires limiting PHI access to what a specific purpose needs, with role-based access supporting it, exactly what inconsistent manual handling makes harder to prove.

Source: 45 CFR §§ 164.502(b), 164.514(d).

Demand for HIM expertise is rising, not falling

The integration of AI and advanced data analytics into HIM workflows means the field needs more skilled HIM professionals, not fewer, even as the workforce shortage persists.

Source: AHIMA health information workforce survey.

How we help

How does DataBank support outside records indexing?

We’re the content foundation layer between your intake channels and your EHR, so outside records are standardized and indexed before anyone has to touch them.

01 INTAKE

Capture every channel

Capture outside records arriving as fax, eFax, portal uploads, email attachments, scans and file drops, agnostic to source.

Medical Records Scanning →
02 REFINE

Classified and indexed consistently

Automatically classify document types and apply consistent indexing rules, splitting mixed packets and merged PDFs into the right records.

Data Refinement Services →
03 MANAGE

Governed exception handling

Only genuinely uncertain items route to the right reviewer, with a full audit trail, not every record that arrives.

Content Management Solutions →
04 ACTIVATE

Delivered into your EHR

Deliver standardized, indexed content directly into your EHR and existing work queues, ready for clinical use.

Data-Driven Workflow and Automation →

How does a supported process compare with a manual one?

StageManual processWith DataBank
IntakeOutside records arrive as fax, eFax, portal uploads, email and scans, often as mixed packetsEvery channel captured into one managed intake process, mixed packets split automatically
RefineHIM staff manually split packets, assign document types and index to the chartDocument types classified and indexing applied automatically, consistent record to record
ManageExceptions and rework are discovered only when someone can’t find a recordOnly genuinely uncertain items routed to a reviewer, with a full audit trail
ActivateUsable content reaches the EHR only after manual processing clears the backlogStandardized, indexed content delivered directly into the EHR and existing work queues

By role

Answers for everyone at the table

An outside records decision crosses HIM, IT, compliance and executive leadership. Each role starts with a different question.

HIM Director / Health Information Management leadership

What you’re weighing

Whether the department can keep pace with record volume without growing headcount, and whether indexing is consistent enough to trust.

How DataBank addresses it

We take packet splitting, typing and indexing off your staff’s desks, so your team reviews only the exceptions that actually need a person.

Request an outside records workflow assessment →

Outcomes

What changes when outside records arrive ready to use?

Records become usable content on arrival, not after a manual backlog clears.

Usable content on arrival

Outside records become usable EHR content as they arrive, not after a manual backlog clears.

Less HIM rework

Fewer manual touches per packet and a smaller exception queue, so staff spend time on exceptions, not every record.

Faster availability to care teams

Clinicians get outside documentation sooner for review and follow-on care decisions.

A workforce shortage that doesn’t become a backlog

Indexing keeps pace with record volume even when hiring doesn’t.

Health system experience

How has this worked for a health system?

A real DataBank engagement with a Mid-Atlantic health system shows what automated indexing does at scale.

Mid-Atlantic Healthcare System

From $1.50 to $0.68 a document

Processing roughly 9 million documents a year, this health system replaced manual indexing with DataBank’s AI-powered document processing, reaching 98% indexing accuracy, reducing unit cost from $1.50 to $0.68 per document, and projecting $7.9M in annual savings.

DataBank infrastructure

Built for provider-side integration

DataBank’s document processing integrates with EHR platforms including Epic and Oracle Health (Cerner), delivering standardized content directly into the systems care teams already use.

Security and compliance

How are outside records kept secure and auditable?

Records stay under documented custody from receipt to the governed EHR-ready file, with access controls, audit trails and retention enforced on the platform.

Chain of custody

Every handoff logged, paper and digital, from receipt to the governed EHR-ready record.

Access controls

Role-based permissions aligned to HIPAA’s minimum necessary standard, so staff see only what their role needs.

Audit trails

Every view, edit and routing step recorded, for both routine review and compliance audits.

Retention

Retention schedules applied on the platform and enforced by rule, matching your institution’s policy.

Hosting

Your platform, your cloud tenant or The DataBank Cloud, agreed with your IT team at scoping.

Frameworks and certifications

SOC 2 Type II ISO 27001 ISO 27017 HIPAA-aligned handling 24/7/365 threat monitoring
Read about security at DataBank

Next step

Start with a Custom Demo

A guided working session to clarify your outside records workflow, define success metrics, and recommend the right next step.

Start with a Custom Demo

FAQ

Outside records questions

Start with this week

How many of this week’s outside records are still sitting in a backlog?

Bring your intake channels, your current EHR and where processing actually stalls. We’ll map it in a guided working session and recommend the right next step.

Start with a Custom Demo