1)
What claim(s) system(s) do you currently use? Select all that apply.
Athenium
Guidewire
Corvel
CSC
EMC
Fineos
ImageRight
Insurity
Mitchell
Oasis
Valley Oak
Venue
Vatti-Manhattan
Other
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2) Wish List - (what features would you like to have).
3) What is most difficult about using your current claims system?
4) Does your system allow you to
simulate/create scenarios for your claims?
5) Are there fraud tools built-in?
6) Are the reports ad-hoc, standard or customizable?
7) Would the following features
make you more productive?
A: Guidance in settling claims?
B: Guidance in adjusting claims?
C: System generated exposure predictions?
D: System generated claim triaging?
E: System generated negligence assessment?
8) Would an activities/to-do-list tab help you?
9) What tools would help your day to day functions?
Assessing the validity of claims
System Reminders
Ability to see patterns in treatment
Claim duplication detection
10) Who does your medical billing transcriptions?
10-A) Are they outsourced, done
in-house or a combination?
10-B) What is the standard turn
around time?
10-C) Are the transcriptions accurate?
11) Are your medical bills catalogued?
12) What does your indemnification
equal?
13) Is claim leakage under control?
13-A) If so, how do you monitor claim leakage?
14) What UCR database do you use?
15) How do you manage permanency
ratings? What tool(s) are used to help?
16) Does your system have a duplicate
bills identification feature?
17) Comments
/ Suggestions:
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