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.

Workers’ compensation data collection for states with EDI reporting

Edi Reporting

Launching Electronic Data Interchange (EDI) reporting initiatives is challenging for states. Precise, cost-efficient intake mechanisms must be developed to accurately ingest workers’ compensation claims and medical data. wcCapture™ is a cost-effective solution for states seeking to initiate EDI reporting or move to a new International Association of Industrial Accident Boards (IAIABC) release.

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States can easily intake EDI workers’ compensation claims information with wcCapture

United States

States can easily intake EDI workers’ compensation claims information with wcCapture

wcCapture is a workers’ compensation data collection system for states. The system provides a cost-effective option for states looking to launch new EDI reporting initiatives or move to a new IAIABC release. States can use:

  • Claims — to collect insurers’ first reports of injury (FROI) and subsequent reports of injury (SROI) in an easy, efficient, and cost-effective manner
  • Medical — to get the information needed to set accurate medical fee schedules, identify potentially fraudulent activity, and institute effective medical cost containment strategies within their states

Analytics that drive change

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Analytics that drive change

To assist states, we also offer wcAnalyzer™, which is a workers’ comp analytics system that helps states turn untapped data into actionable insights.

  • Compliance Data Mart — evaluates the EDI data reporting and compliance performance of all insurers writing business in your jurisdiction and identifies areas of concern.
  • Claims Data  Data Mart — helps produce state annual reports, uncover business trends, and adjust state workers’ comp programs based on qualitative research and analysis.
  • Medical Data Data Mart — measures medical benefit payments in states and identifies specific procedure, drug, and provider cost drivers to guide legislative change.

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.

Getting more from EDI reporting

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.

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

  • Chat Now

    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