FROI/SROI/Medical State Reporting

WorkComp.NET provides Internet-based reporting of First Reports of Injury (FROI), Subsequent Reports of Injury (SROI), and medical bills for state compliance.

For Billing and Customer Services contact:
Michelle Wilson
mnw@roesinc.com
Phone: (434) 735-0181 Ext. 221
Fax: (434) 735-0180

For Technical Support contact:
Shelby Puryear
srp@roesinc.com
Phone: (434) 735-0181 x225
Fax: (434) 374-0898



Advantages

Ingenix WorkComp.NET utilizes advanced technology and tools, it is easy to learn and simple to use. As a web-based ASP solution that supports an unlimited number of users, it eliminates the need to install and maintain desktop software and hardware. All IAIABC and state-required edits are captured in a table-driven format for easy updates and you receive quick, online notification of reporting status and the states’ acknowledgement (ACK).

Value
  • Lower claims reporting costs
  • Decrease manual processing and data entry
  • Meet state EDI reporting requirements
  • Increase reporting accuracy and efficiency
  • Integrate claims and risk management applications
Security

Because security is as critical for our business as it is for yours, we’re invested in protecting sensitive workers’ compensation data. All transactions are authenticated and encrypted using 128-bit Secure Socket Layer (SSL) technology and digital certificates. Data is protected on privately enclosed servers housed in a high-security facility and requires password user verification to access.

Claims Reporting Options

WorkComp.NET provides you with a variety of reporting options to help improve efficiencies and reduce administrative costs. Eliminate manual data entry by importing FROI/SROI from your claims management system via the Internet. If necessary, you can also supplement any additional information via data entry. You can import and process the International Association of Industrial Accident Boards and Commissions (IAIABC) Release 1, 2, and 3 formats or use generic XML for claims reporting for all claims regardless of state reporting requirements. Delivery-only services are also available to meet your claims reporting needs.

Medical Reporting Options

Our robust medical functionality allows payer-to-state medical bill processing using the Florida proprietary flat file, as well as IAIABC ANSI X 12 837 in Texas and California. The tool supports ASP model partial or full integration in addition to 997 (functional acknowledgment processing) and 824 (detailed acknowledgements). You can easily import the Ingenix proprietary medical bill format to existing applications to create a single format that includes all data requirements for supported states. In addition, an easy-to-use graphic interface displays mandatory, conditional, and optional edits and allows users to view acknowledgment information for correction via WorkComp.NET.

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