Claims

Manage and Mitigate your Healthcare Claims in One System

Bring your risk, financial, and legal departments together with dedicated healthcare claims management software built to mitigate financial loss and reduce administrative burden. Monitor, manage, and mitigate medical malpractice, professional liability, and general liability claims all in one place.

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Gain insights through interactive reporting and dashboards

  • Create clear reports to trend claim frequency and severity, determine defense costs, and track financial spending
  • Generate customizable financial reports for actuaries or Third-Party Administrators (TPAs)
  • Use easy-to-read dashboards to stay on top of budgets, minimize losses, and identify trends against incident and complaint data
  • Monitor insurance policies and their reserve balances to avoid eroding excess policy layers
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Reduce administrative and liability costs through alerts and automation

  • Track progression of claims from potential through to resolution
  • Proactively monitor potentially compensable events (PCEs) through integration of Claims with Risk and Feedback software
  • Use automated reminders to reduce lag time and improve liability outcomes
  • Leverage alerts to identify when your reserves or expenses may exceed your intended threshold
  • Integrate with third party systems to manage claims all in one centralized software to retrieve historical information and learnings 
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Improve efficiency and visibility through custom forms and integrated data

  • Save time with highly customizable and easy-to-use Claims forms
  • Forms can be configured to support your organizational needs for worker’s compensation requirements for SROI and FROI reporting, cyber liability claims, subrogation, D&O, and more
  • Search for a physician to help anticipate future liabilities and facilitate immediate responses to re-credentialing requests 
Learn how Novant Health has reduced their claims lag, improved data integrity, and increased user satisfaction using RLDatix. Read the case study

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