• RL6:Claims

    RL6:Claims simplifies healthcare claims management by capturing all of the details required to manage and defend a claim & all in one place. Track meetings, notes, financial transactions & more. Plus, quickly produce standardized reports for Insurers, TPAs and attorneys

    Simplify your healthcare claims management

    Overview

     

    Managing medical malpractice, general liability & professional liability claims is a complex process. Healthcare facilities and professionals need to guard against unexpected financial losses & and keep an eye on their reserve line. RL6:Claims is a healthcare claims solution that helps you save time by tracking all your documents in one place.

     

    • Manage claims through the entire life cycle, from the notice of claim to disposition

    • Built specifically for risk retention groups, healthcare claims administrators & captives

    • Track all of your documents electronically & and in one place

    • Integrates with RL6:Risk – so you’re always using the latest event data.

    RL6:Claims Icon Wall

    RL6:Claims Icon Wall

    RL6:Claims Form

    RL6:Claims Form

    • RL6:Claims Icon Wall
    • RL6:Claims Form

    Features

     

    Organize your medical claims data

    • Track multiple defendants within a single claim file to eliminate duplicate entry
    • Configurable, easy-to-use form layout
    • View and filter transactions by defendant
    • View a chronological listing of notes
    • Store milestone dates & financial information
    • Change field names, lists & transaction types to fit your organization's needs
    • Customize categories of transaction for detailed analysis

     Effectively manage your ongoing claims

    • Assign transactions at the defendant or claim level – or both
    • Control your daily workload with diary alerts & reports
    • Assign insurance to each defendant within a single claim file
    • Simplified workflow makes it easy to stay on top of claims
    • Quickly add follow-up comments & actions to any claims file
    • Attach, scan, copy, cut & paste and print features make it easier to keep all relevant information in single place
    • Search built-in libraries: physician, insurance, policy and expert witness

    Flexible reporting with built-in templates

    • Customize built-in reports or create your own
    • Includes standard litigation face sheets and loss/run, aggregate erosion, standard physician credentialing and triangle reports
    • Define the financial transactions and calculations you want to track
    • Create custom trending & management reports
    • Run separate reports for your hospital or risk retention group
    • Drill-down to details to better analyze your data
    • Capture & analyze detailed insurance coverage
    • Deliver comparative metrics faster to internal stakeholders
    • Submit data to captives & third-party administers

     

    Benefits

     

    Find claims information faster

    With RL6, all the data related to a claim is organized in one electronic file. That means no more searching through paper files! Eliminate many administrative tasks associated with managing paper files. Plus, simple search criteria puts the data you need at your fingertips, including easy access to metrics to help reduce and prevent claims.

     

    Create a complete quality of care system

    Minimize data re-entry and errors by importing case information directly from other RL Solutions software: RL6:Claims integrates with our incident management software, so you can capture and trend with the latest adverse event data.

     

    Save time with automated features

    Define your transaction & financial calculations, saving you re-work every month. Handle claims faster throughout the entire life cycle through automated alerts and to-do lists. Online form letters let you communicate quickly to claimants & attorneys.

     

    Accessible by all hospital groups

    RL6:Claims is manageable by a central group but it includes features that will benefit every department, including customizable alerts and reports. Plus, produce impressive loss/run reports that your TPA & insurer will love.

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