Claims Management

Help to protect your organization by managing and mitigating your healthcare claims in one system
Case Study

Manage all your claims in a centralized system to drive efficiency and to mitigate risk

  • Integrate your risk, finance and legal departments with healthcare claims management software specially designed to save money and time.
  • Automate and expedite your entire claims process with accurate and timely information that helps reduce liability and premiums.
  • Address potentially compensable events quickly and thoroughly with our claims system that increases transparency and communication with your team and results in better outcomes for your patients.
  • Proactively address systemic safety risks to reduce incidents and legal and financial liability.

How Claims can help you

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.

Gain the insights you need with interactive reporting and customized dashboards

  • Create reports that help you understand claim frequency and severity, determine defense costs and track financial spending.
  • Generate financial reports for actuaries or Third-Party Administrators (TPAs).
  • Use easy-to-read dashboards to stay on budget, minimize losses, and identify trends against incident and complaint data.
  • Monitor insurance policies and their reserve balances to avoid eroding excess policy layers.

Reduce administrative burdens and liability costs

  • Track progress of claims from initiation to resolution.
  • Monitor potentially compensable events (PCEs) by viewing data across Claims, Risk, Feedback software before they become costly.
  • Use automated reminders to reduce lag time and meet deadlines.
  • Leverage alerts to identify when your reserves or expenses may exceed your intended threshold.

Discover how you can use RLDatix to transform your organization

Start your journey to safer with RLDatix
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