Liens & Recovery

CASE MANAGEMENT

Easily manage all cases in a single place that allows you to organize case information, set custom workflows, and automatically generate customized activities. 

• Efficiently allocate daily work through customizable dashboards designed to empower users to configure based on their workload. 
• Improve prioritization of tasks through custom workflows in our responsive solution that allow users to set reminders, generate follow-ups, and more. 
• Effectively delegate work priorities through administrative dashboards and reporting that allow teams to track and understand where their time is best spent.

TRACK RECOVERY EFFORTS

Skip the clerical work by automatically identifying and creating cases from third parties in compliance with the Centers for Medicare & Medicaid Services (CMS). 

• Subrogation included but not limited to: Casualty Liability Insurance (Personal Injury, Auto Accident, Medical Malpractice, Class Action), Mass Tort, Workers Compensation, Estate Recovery, and Indemnity Plans.
• Automated processes for claim identification and liens reduce the risk of missing out on potential recoveries.
• Track and easily manage complex situations such as Estate Recovery Medicare cost share for dual-eligible members.

FORMS AND CORRESPONDENCE GENERATION 

Save time and reduce repetitive tasks with custom templates and automatic population of information for any type of communication. 

• Effortlessly use letter and case templates to generate and keep track of communications. 
• Empower staff to easily customize templates for letters, organize forms and emails, and consistently document case work for easy follow-up. 
• Reduce manual work through simple integration with mailing centers that automatically handle outbound correspondence. 

PUBLIC FACING SUBMISSION PORTAL 

Reduce the manual burden on staff with an accessible portal that allows external stakeholders to submit information and automatically integrate it into your workflow of cases. 

• Improve communication with attorneys by replacing tedious back and forth emails with a single point of submission right into your system. 
• Automatically generate new leads and update existing leads with newly gathered information in real-time.
• Eliminate the need for paper exchange processes with secure document transfers to link supplemental information to their cases for improved data collection efficiency.
• Enhance your workflow capabilities with our system’s direct integration of information submitted by outside sources such as attorneys, providers, beneficiaries, etc.

TRAUMA EDIT QUESTIONNAIRES (TEQ) 

Save time and effort by automating TEQ processes including managing diagnosis codes, generating questionnaires and responses, and creating cases. 

• Make informed decisions and determine the most cost-effective process in each situation for your state with all of the tools and data at your disposal. 
• Reduce the effort needed for TEQs with automatic identification of members and questionnaire generation, as well as easy integration with print centers. 
• Improve recovery process efficiency with simple case creation based on responses from beneficiaries. 

CLAIM ACCOUNTING RECONCILIATION OF CASE PAYMENTS 

Ensure financial accountability with a thorough end to end review process from claim adjudication to reconciliation. 

• Accurately calculate the amount to be repaid and ensure traceability by verifying claim and case information. 
• Keep your financial reports up to date by confirming any repayment received is cycled back to the original designated budget it originated from. 
• Provide TPL leadership with accurate forecasting and reports around reconciliation numbers by validating repayment amounts.