Problem Statement

No Fault, Workers' Compensation, and Third Party Liability claims can't be submitted on their own; the payer requires supporting documentation attached to the claim before it will adjudicate. For these claims the documents go out through a printshop for physical delivery rather than an electronic attachment, so each set must be combined and have specific elements redacted before it can be sent, and a missing or improperly redacted record means both a delayed claim and a potential privacy exposure.

Automation Solution

This automation identifies Workers' Comp and Third Party Liability (TPL) claims, combines and redacts specific document elements, and places them in a printshop folder.