QA Claims

Powered by the popular QA RAD Windows® -based environment, QA Claims sets the industry standard for risk management solutions. The QA Claims interface makes information accessible—detailed topics can be organized by multiple tabs making it easy to examine a claim's various subject areas.

QA Claims integrates seamlessly with other QA Systems applications, yielding a deep and powerful resource that streamlines work flow. The scope of QA Claims can be extended when integrated with QA Events, our leading incidents reporting application. The two application can share data, codes and reference materials. Individual user profiles can be set to perserve the most confidential information.

QA Claims integrates with Crystal Decisions, Inc.™Crystal Reports®, the industry-standard report generator. With the capability to embed graphics and export into Microsoft® Word and Excel, in-depth reports are easily distributed across an entire organization. Reports can be segmented into libraries, each with user rights settings to maintain confidentiality and operational excellence.

QA Claims manages potential and actual claims, providing a comprehensive, high-level overview of each claim. All critical data for each claimant is mined. An example within a healthcare setting might include, but is not limited to:

  • allegations
  • attorneys
  • co-parties
  • coverage
  • covered parties
  • document management
  • facilities
  • insurance layers
  • invoices
  • medical practices
  • medications
  • narratives
  • related events
  • reserves (historical)

QA Claims track the required information for managing claims on a daily basis, bringing key elements to the forefront of every claim, such as:
  • demographics
  • milestone dates
  • time intervals
  • analyses
  • exposure
  • coverage
  • litigation process
  • financial data
  • disposition
With QA Claims, claims and risk management issues can be characterized and studied in terms such as: categories, allegations, codes, severity and exposure. QA Claims can be incorporated into any national reference system standards, are multi-level ("drill down"), and are manageable on an ongoing basis by QA Systems and the client.
QA Claims provides a comprehensive overview of each claim, as well as, detailed integrated reporting.
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