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Overview

The AIC PIE (Process Intelligence Engine) automates claim allocations based on corporate defined criteria. Allocate claim charges based on: State, Claim Type (Indemnity, Medical Only, Incident Only, Etc), Severity (Body Part, Nature of Injury), Likelihood of Occurrence and more.

Allocated charges can be a one time occurrence, or ongoing based on: month, fiscal period or client defined time frame.

Define the business logic and allow the AIC Process Intelligence Engine to manage charges.

Advantages

Process Intelligence – Define the charge criteria and the application will create the charges as needed.

Configurable Business Intelligence – Create charges based on Claim Type (IN, MO, IO,) incident severity, State of Jurisdiction and more.

TPA/Carrier Integration – Use data provided by your TPA/Carrier to streamline the process, drive charges and data consistency across the organization.

Return to Work Management - In addition, this module provides a mechanism for facility, division, or corporate personnel to view Out of Work claims at the location level and send email communication directly to the examiner once the employee has returned to work.