QISS Articles:

State Forms EDI Claims Management Integration

Do you have to fill out the same forms repeatedly, both on and offline? Would it be nice to have auto-fill forms with data from your claims management system? Does your claim software provide for you all necessary state forms?

As government departments and agencies adopt new technologies for making claims reporting easier, new policies are close behind: your state may provide for your use online PDF forms for their convenience, or perhaps new mandates for electronic data interchange (EDI) are being instated. How do you take advantage of these offerings?

Claims Management System from Quick Internet Software Solutions is your single-package solution for all your claim handling needs, including government data EDI right from the system! Many states' report forms are available from within in the software such that you need only click into the form, and 90% of the form is prefilled for you based on claim data already in the system. First report (and similar required govt. reporting) can also be done electronically or as mandated by your state jurisdiction right from within the claim system. These are tremendous time/cost saving features.

A claims management relational database system, at simplest, connects all associated claims data with the claim. All claim data (claimants, automobiles, cargo freight, descriptions, contacts-- anything about the claim) is digitally organized and indexed so any claim, and any related claim information (claim diaries and notes, digital claim documents, subrogation, policies), is quickly and easily retrievable. Reporting features allow interrelated data to be compiled into meaningful statistics for use in risk assessment, underwriter review, adjuster performance, and much more.

Most new clients signing with the claim database Claims Management System from Quick Internet Software Solutions (QISS) import historical data from their current system. Some choose to import data as each of their nationwide branch locations signs on. This historical claim information is then available to the adjusters and decision makers at all times just like "current claims" for viewing, claim history statistics, and forecasting with loss run and other reports.

How accurate is the claims data? The QISS claim processing software system is, from claim open to close, claim-centric. Everything in CMS is claim-driven from diaries to documents, from compensation schedules to payments. Imported data from clients switching from other popularly used claim handling packages such as David, Corporate Systems, and non-rdbms CMSs, has to undergo a very rigorous, extensive data import process in order to handle all the claim-related transactions, payment histories, client contact information, etc. to make sure that any data entering or leaving QISS CMS is pure.