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Electronic Claims Processing Software
for Third Party Administrators
Electronic Claims Processing.
Save Time, Improve Productivity.
Workflow is an automatic electronic claims filing system that allows documents to be routed electronically, enabling users to process work more efficiently and accurately, offering shorter queue times, compared with traditional paper processing. Our electronic claims filing system can benefit your organization by automating claims processing and optimizing employee efforts to save time, improve productivity, reduce errors, and increase customer satisfaction.
How it Works:
Workflow creates consistent work practices, streamlining collaboration and accelerating the completion of critical business procedures such as, enrollment form processing, flex expense approval, and disclosure schedule management.
Using a configurable set of rules and actions, your electronic claims processing can be managed through user-defined processes to ensure document distribution occurs in a standard and controlled manner. Once defined, these defined processes also serve to document your organization’s best practices and facilitate their replication. With WorldView, your organization can quickly deploy robust workflow solutions for any business process and create the opportunity for continuous improvement.
Documents are entered into Workflow in a variety of ways;
e-forms, legacy software integration, document imaging, or manual import. Workflow can prompt users for input or automatically process documents based on information such as a keyword, document type, document arrival, the presence of a supporting document, or information from a line of business system. Timers can even be set to help with ERISA, HIPAA, and SOX disclosure management notification regarding regulation compliance and continued education updates.
Improved Customer Service Through Claims Processing Automation:
  • Efficient Claim Substantiation
  • Eliminate Lost Papers
  • Document Best Practices
  • Replicate Best Practices
  • Improve AP/AR Processes
  • Increase Productivity
  • Increase Accuracy
  • Reduce Costs
  • Simplify Distribution
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