|
|
|
Optional Interfaces
Accounts Payable
ISO ClaimSearch Universal Format Interface
Bank Interface: Positive Pay & Reconciliation
Bill Review Company
Claim Intake
Employee
PERI Data Exchange
Accounts Payable Interface [top]
The Accounts Payable Interface exchanges data between iVOS and
your accounts payable system. Payment information is entered,
processed and assigned a unique identifier in iVOS. The processed
payment information is then exported to your accounts payable
system that creates the checks to be issued. In return, iVOS
receives check dates and numbers and updates the payment records
using the unique identifier that is passed back by your accounts
payable system.
ISO ClaimSearch Universal Format Interface [top]
The ISO ClaimSearch Interface is a 2-way interface that verifies
the validity of claims data for all lines of insurances to reduce
fraudulent claims. The system identifies claim histories of insureds
and claimants to assist in the adjustment of claims and detection
and prevention of insurance claim fraud. When you submit a claim,
you automatically receive reports on any applicable matches, along
with other system information that helps verify data associated
with your criteria. ISO ClaimSearch reports improve the accuracy
of your decisions about the validity of claims and speed the payment
of meritorious claims.
- Automatic requests configurable to user requirements
- Initial/supplemental/re-index
- All lines of insurance
- Index reports filed into claim notepad
ISO ClaimSearch furnishes the data that every company needs to
protect itself against paying questionable or possibly fraudulent
claims. This approach to claim reporting provides a single point
of entry for multi-line claim input and a report delivery system
that equips claims personnel with essential data for researching
prior loss histories, identifying claims patterns, and detecting
potentially fraudulent claims.
Bank Interface: Positive Pay & Reconciliation [top]
The Bank Interface is a two-way electronic transfer of check
information between iVOS and your bank. Information exported
from iVOS, called Positive Pay, informs your bank as to which
checks have been issued, for how much, and to whom. This feature
provides protection against fraudulent and tampered checks attempting
to be cashed. Reconciliation is the imported files from your
bank of your cleared checks and corrections, which are then applied,
to the individual payments. Check information can be viewed from
the payment screen to indicate the status of the check as cleared,
stopped, or voided.
Bill Review Company Interface [top]
The Bill Review Interface is a custom interface to import medical
payment information into iVOS. This interface electronically
transfers payment information from most Bill Review systems directly
into iVOS for check/voucher issuance. Optionally, bill review
and/or PPO fees charged by the Bill Review Company/PPO can be
automatically attached to the individual claim files and a single
check(s) will be produced to the Bill Review/PPO. Medical treatment
and EOR/EOB information is not imported as part of this interface.
Supplemental interface to the Bill Review Interface that imports
medical treatment information into iVOS. This includes the ability
to view treatment information from the payment screen as well
as the necessary changes to print an Explanation of Benefits
(EOB) on the stub of laser printed checks.
Claim Intake Interface [top]
The Claim Intake Interface allows you to import claims information
into iVOS from an external party on a regularly scheduled basis.
For example, claimant information from a call center system would
be mapped into the appropriate fields and updated in the claimant
files. This efficient process will enable your claims administration
to run smoothly while utilizing all your valuable resources.
The Claim Intake Interface allows you to import claims, payment,
and reserve information into iVOS from an external party
on a regularly scheduled basis. Financial information and/or
claimant information from an external system would be mapped into
the appropriate fields and updated in the associated claim files.
This efficient process will enable your claims administration
to run smoothly while utilizing all your valuable resources.
Employee Interface [top]
The Employee Interface extracts data from your organization's HR database in a fixed-length
ASCII file format into iVOS. When a claim (or injury report) is opened and the SSN or
employee number is entered, the employee information is automatically populated in the
general claims screen and database eliminating the need to manually enter the data.
PERI Data Exchange Interface [top]
The PERI Data Exchange Interface allows you to collect workers’ compensation
claims data and submit it to the Public Entity Risk Institute data
warehouse. Visit www.riskinstitute.org
for more information.
The PERI Data Exchange Interface allows you to collect general liability claims data and
submit it to the Public Entity Risk Institute data warehouse. Visit
www.riskinstitute.org for more information.
|
Kevin Confetti