Ahshay!  (I found it!) Claims Document    Workflow Solution By Wilson Koh
 
True Story 2008 2009 Difference Total Claim 74000 79000 +7% Users 60 58 - 3% Inbound mail pages /day 7600 3500 - 54% Scann...
Testimonials by Customers <ul><li>Overall 25 – 50% on Productivity Improvement </li></ul><ul><li>More Time For Strategic C...
Ahshay Integration
New Mail Room
Document Workflow Processing <ul><li>How Scanned Files Are Routed To Adjusters </li></ul><ul><li>View Multiple </li></ul><...
Notification of New Doc Claims with Pending Doc
Bill Approval Process <ul><li>Process Imaged Bills via Ahshay </li></ul><ul><li>Sending it to Bill Review via EDI </li></u...
Management Reports <ul><li>View Claims with Pending Documents for All Adjusters </li></ul><ul><li>View All Claims for All ...
Bill Adjuster
Who View the Doc When did they view the Doc How many times they view the Doc
Detail Document Search
UR Modules <ul><li>Easy UR referral process </li></ul><ul><li>Tracking your UR cases </li></ul><ul><li>Standardized Queuin...
 
 
Scanning Station Specs <ul><li>PC Attached With Minimum Memory Of 1 GB </li></ul><ul><li>Broadband Internet Access  </li><...
Scanner Specification <ul><li>Scanner Features: </li></ul><ul><ul><li>Scan to File </li></ul></ul><ul><ul><li>Scan to PDF ...
What Can DataCare Deliver  <ul><li>Full Transparency of Claims </li></ul><ul><li>Accessibility of Claim Documents on real-...
Summary <ul><li>Best reference in the world </li></ul><ul><li>Workflow built-in </li></ul><ul><li>Software as a service  <...
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Claims Document Workflow

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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.
  • Claims Document Workflow

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

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