Healthcare Risk-Quality-Safety, Simplified

Claims Management

Claims Management Software

The Claim Management Module (CMM) is a web-based tool for the entry, maintenance, and review of your organization's professional and general liability claims. It is designed to incorporate the best practices in claim management, is simple to use, and allows you to manage a claim through its entire lifecycle.

 

Providing you with time-saving tools and powerful easy-to-use functionality.
Managing claims can be a complex and error-prone process. With the Claim Management Module, you have all of the tools you need to effectively manage claims from inception through resolution, ultimately leading to reduced costs.


  • Receive daily email reminders of claims scheduled for review
  • Track all necessary financial information including reserves & payments
  • Store all pertinent documents & files in one place so everything is there when you need it
  • Easily search the system for previously entered claims by a variety of criteria
  • Stay on top of each claim by quickly adding follow-up comments & notes
  • Use the diary information function to quickly & easily follow up on claims based on date criteria
  • Provides an attorney evaluation to help assess defense counsel's performance
  • Review a number of standardized reports including loss runs, incident, clinical code & attorney assignment
  • Customize your own reports so you are getting the exact information you desire
  • Track risk issues that are identified in your claims in order to monitor for trends & initiate proactive risk management activities


Technically, it's simple.

  • Accessible via your Intranet
  • Integrates with the Healthcare SafetyZone® Portal event module
  • Cloud-based; no IT maintenance
  • HIPAA compliant
  • Smooth implementation process
  • Professional training & help desk


MMSEA Reporting Add-On Tool


 

  • Easily transfer claims data to the COBC with an automated interface
  • Includes the 100+ MMSEA reporting requirements
  • Auto populates over half of the required MMSEA data fields
  • Receive assistance with the COBC online registration process
  • Receive assistance with the COBC data testing requirements
  • Creates a system to check for beneficiary status prior to reporting

Claims Management Services

Clarity provides depth of experience in healthcare professional and general liability and national litigation knowledge to assist healthcare organizations with captives, trusts and self-insured programs to manage their professional and general liability claims.


Clarity's Claims Management Services include:

  • Case investigation
  • Serious case evaluation
  • Program and systems evaluation
  • System and process design
  • Trial monitoring
  • Education and training
  • Litigation management
  • Full-service third-party claims management services
  • Claim audit reviews
  • Medicare liability reporting compliance