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 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 ClaimCenter™. This single-sign-on integration alleviates the extra steps of leaving the 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 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 ClaimCenter.
Seamless ordering, statusing, and viewing/downloading medical, billing, and other necessary records to evaluate claims from within ClaimCenter, saves time, improves adjuster productivity, and reduces cost.
Did You Know?
Ontellus enables claims adjusters with analytics that help review case records in a logical timeline that dynamically adapts as more records are retrieved. Adjusters can share important sensitive HIPAA data digitally in the cloud with their legal counsel to support litigated claims.