Configuring Claim Service

Posted on

January 2nd, 2011


Claim intake is not a one-size-fits-all service. Starting with an in-depth analysis of your goals and current process ensures development of a custom workflow that is right for you. It’s critical to use your business rules to ensure accuracy, minimize call times, and reduce follow-up calls.

• Roll out quickly with Actec’s best practices workflow for a complete, logically organized report.
• Give your customers any combination of reporting options: telephone, e-mail, fax, Internet, and even electronic file submission.
• Let Actec enter notices directly into your in-house claims management application, seamlessly launched from our contact tracking module, which allows us to offer additional reporting, tracking, forms management, and dissemination capabilities.
• Respond quickly to critical incidents. Your customized plan specifies the data collected, format of reports, detailed recipient notification, and escalation procedures.
• Ensure correct routing of claims – even verify coverage upfront – with rules-driven policy and claim office assignment.
• Increase accuracy, consistency, and efficiency by providing policyholder, location, distribution, carrier, and employee demographic data to populate notices at intake.
• Customize list options with job titles, department codes, medical coding, PPO providers, and more.
• Send data in any file layout, at any frequency – we handle the rest to minimize your IT resource needs.