Streamline Your Records Retrieval & Claims Integration with AddOntellus™

Insurance claims adjusters and regional CLCs using Guidewire ClaimCenter order their claims records from Ontellus via the My.Ontellus.com™ web-based cloud portal.

This typically involves logging in and re-keying the claims data stored in Guidewire ClaimCenter. Additionally, the external portal is used to check the status of records and for viewing the retrieved records. This results in adjusters jumping from one application to another, impacting response time and productivity.

AddOntellus allows claims adjusters to securely order records from Ontellus within Guidewire ClaimCenter. This single-sign-on integration alleviates the extra steps of leaving the Guidewire ClaimCenter environment and re-entering order details, such as claimant name, d/o/b, SSN, claim number and billing information.

After placing the order, adjusters can monitor the status of the request, take action upon it if needed (such as custodian fee approvals) and view/download the medical records without leaving Guidewire ClaimCenter. Records delivered to claims staff are securely passed to ensure all data privacy and security controls are met.

The AddOntellus add-on seamlessly integrates Guidewire ClaimCenter and the My.Ontellus API to support a records retrieval process from within Guidewire ClaimCenter.

From Within ClaimCenter, The Claims Adjuster Can

• Initiate a records retrieval request by selecting “Records Retrieval –Ontellus” from the Guidewire ClaimCenter Service Screen
• Perform a Provider Location Search of the Ontellus facilities database: A Facility can be searched for by name, address, phone, zip
• The Location specific details are auto-filled upon selection of the location from the facility dropdown
• Submit the Ontellus Record Request with Claimant & Location specific information and upload a signed HIPAA Authorization/Legal document
• The Name, DOB, SSN & Claim Number are auto-filled from Guidewire ClaimCenter
• Track all details related to the submitted order via the Ontellus sub-tab within the Service screen
• Provide fee approval and updated legal/authorization documents from within Guidewire ClaimCenter
• Review and download records from within Guidewire ClaimCenter when records are obtained via a link to the records in Guidewire ClaimCenter

Primary Benefits

• Prefilled claims information while ordering, eliminating the need to rekey information
• Orders records quickly and accurately passed to Ontellus
• Automated status updates
• Secure delivery of records retrieved
• Enables all record related approval activities to be performed in Guidewire ClaimCenter
• Instant access of information

Seamless ordering, statusing, and viewing/downloading medical, billing, and other necessary records to evaluate claims from within Guidewire ClaimCenter, saves time, improves adjuster productivity and reduces cost.

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