wcAnalyzer™

Getting more from EDI reporting

The Electronic Data Interchange (EDI) workers’ compensation reporting process entails the transmission of a vast amount of information, including detailed first reports of injury (FROI) and subsequent reports of injury (SROI) claims and medical billing data. Verisk has a solution that can help states and insurers get more from their compliance efforts.

Insights that elevate workers’ comp compliance for states and insurers

Wcnavigator

With all the workers’ compensation data that states collect and insurers report, how do you sift through the morass to measure the effectiveness of your compliance? Regulators and carriers need metrics about industry standards to discover where problems lie.

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The solution offers these tools for insurers:

Abstract Image

The solution offers these tools for insurers:

  • Compliance Cube — Evaluates EDI data reporting and compliance performance state-by-state, identifies concerns, and helps avoid noncompliance fines
  • Claims Data Cube — Helps you understand claim trends across classes of business and over time to manage your book
  • Medical Data Cube — Provides insights on medical costs and claim leakage by uncovering diagnosis, procedure, and prescription trends across multiple medical-related data sets

wcAnalyzer offers states:

States

wcAnalyzer offers states:

  • Compliance Cube — Evaluates the EDI data reporting and compliance performance of all insurers writing business in their jurisdiction to identify areas of concern
  • Claims Data Cube for claims data analytics — Produces state annual reports to help uncover business trends and adjust state workers’ compensation programs based on qualitative research and analysis
  • Medical Data Cube — Measures medical benefit payments by state and identifies specific procedure, drug, and provider cost drivers to guide legislative change

Insightful analytics for states’ and insurers’ EDI reporting data with wcAnalyzer

Actionable Insights

wcAnalyzer™ is a workers’ compensation analytics system that provides states and insurers with the means to turn untapped data into actionable insights. This EDI analytic tool is available for both wcCapture™ and wcPrism® users.

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For more Verisk workers’ compensation solutions, check out:

Mastering data compliance reporting requirements for workers’ compensation

Wcprism

Mastering data compliance reporting requirements for workers’ compensation

Workers’ compensation data compliance reporting is challenging; insurers must carefully format and submit detailed claim and policy data to state jurisdictions and data collection organizations. Verisk has solutions for all workers’ compensation compliance reporting needs that will help save time and improve reporting accuracy.

Capturing workers’ compensation claims information with EDI

Wccapture

Capturing workers’ compensation claims information with EDI

Workers’ compensation data compliance reporting is challenging. Insurers must carefully format and submit detailed claim and policy data to state jurisdictions and data collection organizations. Verisk has solutions for all workers’ compensation compliance reporting needs that will save time and improve reporting accuracy.

Detect and manage high-severity workers’ comp claims through predictive analytics

Wcnavigator

Detect and manage high-severity workers’ comp claims through predictive analytics

Accurately determining workers’ compensation claim severity early is key to controlling claim costs. wcNavigator® uses predictive analytics to help adjusters and claims managers accurately identify claim severity as early as day one.

Achieve full compliance for future medical allocations while managing expenses

Medicare Future Allocations

Achieve full compliance for future medical allocations while managing expenses

Complying with Medicare’s demands for future medical allocations requires deep knowledge of both medical and legal aspects of injury claims. ISO Claims Partners has a range of services to help you comply and expertly manage expenses.

ISO Claims Partners helps insurers take control of claims, compliance, and costs

Iso Claims Partners

ISO Claims Partners helps insurers take control of claims, compliance, and costs

ISO Claims Partners provides a wide range of claims compliance solutions—from extensive MSP services to efficient EDI reporting—as well as proven predictive analytics that improve workers’ compensation and liability claims management.

Complex claims and compliance costs insurers

Workers Comp

Complex claims and compliance costs insurers

Workers’ compensation insurers are challenged with managing complex claims, rising claim severity, and stringent reporting obligations. And with many experienced claims handlers nearing retirement, the challenges become even more daunting.

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Other Ways to Connect

We are available Monday through Friday, 7 a.m. — 9 p.m. US Eastern Time:

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    Note that password resets and user information are not available through Live Chat or Email. Instead, please call the main toll-free number below.

  • Main Toll-Free: 1-800-888-4476

  • Global Toll-Free: International Access code, then 800 48977489