Managing Complexity with Technology |
The Network built NetClaim to manage claim reporting for large employers that were experiencing increasingly complex claim reporting requirements and a variety of special needs driven by business unit, type of coverage, day of the week, etc. Our state-of-the-art system guides claim reporting specialists through the intake process, keeping track of every detail along the way and freeing up the specialist to provide the caller with excellent customer service.
- NetClaim’s award-winning technology delivers:
- Flexibility. NetClaim uses rules-based logic to drive call scripting, escalation and dissemination. This means that even your most complex client can have an integrated reporting program that is simple to communicate to employees, yet consistently achieves the requirements of every area of the company. Do you need special instructions, customized greetings or conditional questions for certain locations? NetClaim can handle it.
- Accuracy and Consistency. Before the call is complete, NetClaim conducts real-time quality assurance through automated integrity checks. The system warns the claim reporting specialist regarding any missing information or inconsistencies while the caller is still on the line to clarify. This process ensures accuracy and consistency for every report.
- Seamless Integration. NetClaim seamlessly integrates onto the front end of your claim intake process. The Network is your trusted partner, deploying NetClaim on your Web site while maintaining your organization’s look and feel. We share a protocol with our TPA partners that enables users to log on to our secure system without any awareness of being passed on to another system.
- Proven Reliability. NetClaim is a robust application built for the Internet, but it is not a Web form. It is a true application with solid capabilities. Its scalable technology ensures the system can handle growth and adapt to changing client needs. It protects data with multiple layers of security and encryption during transfers.
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