监管报告

最大的 & Most Trusted EDI Partner in the P&C行业

With 39 states that require regulatory reporting—and make changes to their regulations at least once per year—it’s crucial that your claims organization has a comprehensive Electronic Data Interchange (EDI) solution in place to remain compliant with the ever-changing state reporting requirements. Enlyte 监管报告 亚博真人官方版APP support both First Report of 受伤 and Subsequent Report of 受伤 reporting and Centers for Medicare & 医疗补助服务 (CMS) reporting via more than 15,000年强制, conditional and sequencing edits, allowing for excellent data quality and operational efficiency. Our solutions are deeply integrated with Enlyte's bill review platform and are customizable to your specific business needs, helping to take the pain out of the regulatory reporting process.

FROI / SROI报告

First Report of 受伤 & Subsequent Report of 受伤

Our FROI/SROI reporting ensures that customers stay compliant with workers’ comp regulations and policies.

CMS的报告

Centers for Medicare & 医疗补助服务

Submit queries and reports pursuant to Section 111 CMS reporting requirements, including automatic resubmission, 在需要时.

可用的模块标准模块

Learn more about our premium, standard and basic options, as well as our optional modules below:

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Auto Triggers (Premium Model)

Creates efficiency through automation

Reduces the manual work involved with EDI compliance processes

Automatically exports your raw claims data and can take care of the rest

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Import/Export (Standard Model)

Eliminates manual data entry by exporting FROI/SROI data from your claims management system

Submits files for all IAIABC releases in a single file format

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Data Entry (Basic Model)

组装, manages and submits the required information in compliance with jurisdictional regulations in our easy-to-use, 安全的门户网站

可用的模块可选模块

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WCIRB Indemnity Reporting

We leverage your FROI/SROI records and report them to the Workers’ Compensation Insurance Rating Bureau (WCIRB), so you don’t have to!

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测序*

We can manage the sequencing process for you, helping eliminate headaches and boosting efficiency.

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Change Reporting – 3.1标准*

The IAIABC Claims Release 3.1 Standard requires claims organizations to report out on any data elements that are changed. Enlyte can automatically identify the changes in any 02 transaction to handle this process for you.

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Benefits of Using Enlyte 监管报告 亚博真人官方版APP

Leverage Enlyte's deeply integrated and automated regulatory reporting software, and we’ll be your single connection to help you handle your state reporting, remain compliant and achieve operational efficiency.

  • An award-winning team of dedicated EDI experts with direct experience working with the International Association of Industrial Accident Board and Commissions (IAIABC)
  • 15,000+ mandatory and conditional edits
  • The tools to handle regulatory reporting for you, so you can focus on your core capabilities
  • Automated workflows to help boost efficiency and compliance with regulations
  • Complete management of all changes from the 39 states that require regulatory reporting
  • Customizable solutions that fit the needs of your organization
  • Detailed reporting accuracy, efficiency and tracking
  • Precise communication, error monitoring and correcting

了解更多

Combine industry-leading technology with deep market expertise to achieve exceptional claim outcomes. Schedule a consultation to learn more about our comprehensive suite of integrated casualty services and solutions.