Feature

Benefit

Supports OCF 23, OCF 22, OCF 18, OFC 24, and OCF 3 

Comprehensive support for accident benefit forms used in Ontario

Automated form field, consistency and relationship validation

Significantly reduces the time adjusters spend on cross-checking forms while improving the accuracy, quality and compliance of data

Configurable workflow for processing forms that applies intelligence around form dependencies, timelines

Streamlines workflow providing consistency across claims teams accelerating time to decision 

Automated response  processing of approximately 45% of forms (OCF 23, OCF 22 and OCF 18 that qualify for PAF)

Ensures consistent, fast and accurate decisions

Enables adjusters to focus time on more complex cases

Access to extensive knowledge base

Enables adjusters to make more informed decisions based on similar cases

Bring information forward to First Notice of Loss for skill based routing

Integration with HCAI

InHealth’s Claims Intelligence Software functionality supports central processing triage further reducing time to decision adding clinical and adjusting expertise

Extensive management Information

Standard and customized reports provide unparalleled insight into the performance of claims handling, influences and trend management  

API/Integration technology

Ensures easy integration with in-house systems, seamless UI for users and single sign-on capabilities

Supply chain portal and Management system (IE Governance and Preferred Provider Networks

Streamlines  assignments and report management for faster deployment of information to enable quicker responses

Improved customer service using precise vendor assignment, type of claim and specialization

Document Repository

Relevant documents are indexed and tagged enabling digitized access for quick and easy reference

Browser support

Windows Internet Explorer