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Claims Document Workflow

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Claims Document Workflow

Claims Document Workflow

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  • No repeat faxes/mails We’re getting less redundant papers By you handling claims on time Rationale: No increase of headcount even though total claim increase. No increase headcount even though total outgoing faxes increase. Substantial decrease of 30 – 50% redundant inbound mail Decrease incoming faxes to 18% due to removal of redundant incoming faxes 25% improvement in productivity and increase in quality in one year Administrative improvement – by the admin staff in handling mails, faxes, at the minimum of 25 – 50% improvement Adjuste rlevel productivity improvement from 25% - 50%.
  • More Time For Strategic Claim Handling Reduce Total Claim Cost Better Collaboration With All Layers Eliminate Paper Chase: Copying, Faxing, Shredding, Filing, Searching Less Redundancy Redundant Bill Processing = $10 To $17 Real Time Access To All Files 30 To 40k Savings Per Claim Office
  • Web based application Firewall access 2-4 week deployment time Intuitive interface and user hierarchy, different screens for different users Ahshay is fully customizable and can be modified to fit your needs. Our usual implementation time is 4- 6 weeks, but we have done implementation time as fast as 2 weeks.

Transcript

  • 1. Ahshay! (I found it!) Claims Document Workflow Solution By Wilson Koh
  • 2.  
  • 3. True Story 2008 2009 Difference Total Claim 74000 79000 +7% Users 60 58 - 3% Inbound mail pages /day 7600 3500 - 54% Scanned pages/month 116,000 68,800 - 33% Incoming fax pages/month 23000 18800 - 18% Outgoing fax pages/month 1840 2460 + 25% Outgoing mail letters/month 647 891 + 37%
  • 4. Testimonials by Customers
    • Overall 25 – 50% on Productivity Improvement
    • More Time For Strategic Claim Handling
      • Reduce Total Claim Cost
    • Less Redundancy
      • Redundant Bill Processing = $10 To $17 / bill
    • 3 rd Generation Efficiency
      • Real Time Access by All Levels At The Same Time
    • Eliminate Paper Chase
  • 5. Ahshay Integration
  • 6. New Mail Room
  • 7. Document Workflow Processing
    • How Scanned Files Are Routed To Adjusters
    • View Multiple
    • Search & Send
    • Fax/Email log
    • Viewer/Forward log
    • Auto-fill Forms
  • 8. Notification of New Doc Claims with Pending Doc
  • 9. Bill Approval Process
    • Process Imaged Bills via Ahshay
    • Sending it to Bill Review via EDI
    • Know what stages your bills are at
  • 10. Management Reports
    • View Claims with Pending Documents for All Adjusters
    • View All Claims for All Adjusters
    • Search Through All Claims
    • Search Through All Documents
  • 11. Bill Adjuster
  • 12. Who View the Doc When did they view the Doc How many times they view the Doc
  • 13. Detail Document Search
  • 14. UR Modules
    • Easy UR referral process
    • Tracking your UR cases
    • Standardized Queuing Systems
    • Zero Click Send Intaking
    • Automate UR results to CompIQ
  • 15.  
  • 16.  
  • 17. Scanning Station Specs
    • PC Attached With Minimum Memory Of 1 GB
    • Broadband Internet Access
    • Secure FTP Software(recommend CuteFTP)
    • Backup Scanner For Emergencies
      • Printer, Copier, Other Low Cost Scanner(I.E. Fujitsu Snapscan
    • Hard Copy Document Retention Policy
      • 7 to 30 Days Recommended
    • Datacare Will Assist In Installation And Testing
  • 18. Scanner Specification
    • Scanner Features:
      • Scan to File
      • Scan to PDF format
      • Automatic Color Detection
      • Intelligent Blank Page Detection
      • Separator Sheets Detection
      • Double Feed Detection
      • Duty Cycle up to 15,000 documents per day
      • Scanning Speed up to 1.1 seconds / page
  • 19. What Can DataCare Deliver
    • Full Transparency of Claims
    • Accessibility of Claim Documents on real-time basis
    • Improved Efficiency by 20 - 50%
      • Cut Cycle Time by 30 – 50%
    • Fully Searchable Claim Documents
    • Business Continuity/Disaster Recovery
      • Continuous Backup to Multiple Locations
  • 20. Summary
    • Best reference in the world
    • Workflow built-in
    • Software as a service
    • Our Goal: To help all claim administrators to achieve improvement in claims handling efficiencies, time and cost savings