Policy Tracking

Policy Tracking Overview

 

The Policy Tracking window summarizes the insurance policies that is used by the organization. When Claims are associated with a Policy, DXC Assure Claims uses the entered information in the Policy tracking window to complete the Claim record.

The Policy Tracking functionality helps manage Insurance Policies for Claim Payment, Policy Analysis, Organization Renewal, Reporting, and quick online references. Policy management in Assure Claims offers the following benefits:

 

• Analysis of the most common exposures
• Auto-notification for upcoming coverage exhaustion and renewal dates
• Logical selection of appropriate coverage
• Application of payments to the appropriate policies
• Trend analysis of Policy-Claims experience
• User-defined reporting
• Automatic notification triggered for cancellation
• Related policies linked to corresponding coverage triangles
• Additional user-defined exposure bases
• Complete integration of Claims database

 

To open the Policy Tracking window, go to Maintenance zone and choose Policy Tracking from the Maintenance menu to get redirected to the Policy Tracking window.

 

Add a New Policy

 

To create a new policy, select the Add New button from the toolbar of the Policy Tracking window. The screen includes following accordions:

 

• Policy Information
• Insurer Information
• Broker Information
• Supplements

 

These accordions are discussed in detail below:

 

Policy Tracking Window: Policy Information accordion

 

Use the Policy Information accordion to enter general information about a insurance policy.

 

Field Description:

 

 

Policy Name: Enter a unique identifying name for the policy.

Policy Number: Enter a unique identifying number for the policy.

Policy Status: Enter the code that best describes the status of the policy or select the button to select from the Code Selection window.

GST Inclusive Premium: Enter the dollar amount the insured pays as policy premium. The entered amount should include GST.

Bank Account: From the drop down list, select the bank account from which you will make claim payments.

Primary Policy: Select the check box if the policy is the primary policy and it is linked to an excess policy or policies.

Claims-Made Coverage: Select the check box if you want DXC Assure Claims to check the claim date against the policy date range to decide whether the policy can be associated with a claim.

Note: This checkbox does not display when the carrier claim setting is enabled and the policy is downloaded from Point Policy system.

All States: Select the check box if you want to associate all states to policy.

Policy State: Select the button to open Code Selection window and then select the state which you want to associate with the policy.

Currency Type: Select the  button to open Code Selection window and select the currency.

Issue Date: Enter the date on which the policy was issued or select the button to select from a calendar.

Review Date: Enter the date on which you will review the policy to decide whether or not to renew the policy or select the button to select from a calendar.

Renewal Date: Enter the date on which you want to renew the policy or select the button to select from a calendar.

Paid To Date: Enter the date of the last paid premium.

Effective Date: Enter the date on which the policy comes into effect or select the button to select from a calendar.

Reinsurance: Select the Reinsurance code by selecting the button.

Expiration Date: Enter the date on which the policy expires or select the button to select from a calendar.

Cancel Date: Enter the date on which you cancelled the policy or select the button to select from a calendar.

Cancel Reason Code: Select the code that best describes the reason for policy cancellation.

Policy Lob: Enter the code that best describes the insurance line of the policy.

Note: The Policy LOB field help to search the policy with filter.

Injury Management Program: Select the button to open Code Selection window and then select the injury management program which you want to associate with the policy.

GST Rate: Enter the applicable GST rate in this field.

GST Amount: As per the GST rate entered the previous field, the GST amount will be calculated and displayed in this field.

GST Exclusive Premium: Enter the premium amount excluding the GST amount.

Face Amount: Enter the face amount.

Reporting Product Type: Select the button to open Code Selection window and then select the reporting product type.

Product Type and Sub-product Type: Select the button to open Code Selection window and then select the product and sub-type product.

Major LOB: Select a major line of business to be associated to the policy.

 

Policy Tracking Window: Insurer Information accordion

 

Use the Insurer Information accordion to enter details about the insurance company that is issuing the insurance policy. The insurance company is saved as an entity in your database. If you can enter multiple insurers, and you on the Policy Insurer window, you select the Primary Insurer check box, then the fields by default display the information of the primary insurer.

 

Field Description:

 

 

Insurer: Enter the insurance company name or select the button to open the Standard Entity Search window and search for an insurer.

If you select an insurer from the search results, DXC Assure Claims automatically enters the insurer information on the tab.

Note: Before you enter new data, search for the insurer in existing records. This prevents duplicate entries in the database.

Contact: Enter the contact person for the insurance policy.

Address: Enter the insurance company’s address. Enter the City, State, Zip, and Country in the appropriate fields.

Office Phone: Enter the insurance company’s telephone number.

Alt. Phone: Enter the insurance company’s additional telephone number, if any.

Email Address: Enter the insurer email address.

Fax: Enter the insurance company’s fax number.

Insured: Select the button to open the Org Hierarchy window and select the sites in your organization, the insurance policy covers.

To delete an existing insured site, select the site and select the button.

 

Policy Tracking Window: Broker Information accordion

 

Use the Broker Information accordion to enter details about an insurance broker.

 

 

Field Description:

 

Last Name: Enter the insurance broker’s last name or select the button to open the Standard Entity Search window and search for an insurer .

If you select an insurer from the search results, DXC Assure Claims automatically enters the broker information on the tab.

First Name: Enter the broker’s first name.

Address: Enter the broker’s home address. Enter the City, State, Zip, and Country in the appropriate fields.

Office Phone: Enter the broker’s office phone number.

Alt. Phone: Enter the broker’s alternate phone number.

Fax: Enter the broker’s fax number.

Tax ID: Enter the broker’s federal tax identification number.

Broker Firm: Enter the broker’s firm name or select the button to open the Standard Entity Search window and search for a brokerage firm.

 

Policy MCO Window

The toolbar menu section of the Policy Tracking screen features a Policy MCO button. The Policy MCO window enables you enter and manage details about medical insurance policies administered by Managed Care Organizations (MCO).

Note: Before you enter MCO data, you must first add the MCO entity into your database.

To open Policy MCO screen, go to an existing Policy page of the Policy Tracking window. The right-hand pane of the window features the Policy MCO section.

Field Definitions:

 

Policy MCO: Enter the Managed Care Organization’s name or select the button to open the Standard Entity Search and search for an MCO.

Begin Date: Enter the date on which the policy comes into effect or select button to select from a calendar.

End Date: Enter the date on which the policy expires or select the button to select from a calendar.