First Party
Casualty
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How It Works

CCC’s First Party Casualty solution leverages an intelligent rule engine in applying insurer-driven rules to quickly segment low-touch bills from those that the insurer wants to manually review. Our tools and services for first party casualty claims modernize the chaotic, paper-burdened system with a comprehensive, configurable experience to help you make timely, consistent payments across bill types, with corresponding analytics insights.

Features

Smarter Bill Review

Streamline medical bill review with a highly configurable rule engine.

Digitized Bill Ingestion

Our document management solutions include the latest scanning technology, automated routing of claims, and a digital workflow that’s entirely visible and searchable, all designed to help insurers handle claims with greater efficiency and control.

Live Communication Support

Call center and mailroom services address inquiries and deliver bill-related correspondence, improving the customer experience.

Electronic Routing for Professional Review

In cases that require specialized review, proprietary technology can electronically route files to an appropriate professional (certified coder, registered nurse, or physician) for review, including independent medical exams, to help adjusters make sense of the claim and lower risk.

Smarter Bill Review

Streamline medical bill review with a highly configurable rule engine.

Digitized Bill Ingestion

Our document management solutions include the latest scanning technology, automated routing of claims, and a digital workflow that’s entirely visible and searchable, all designed to help insurers handle claims with greater efficiency and control.

Live Communication Support

Call center and mailroom services address inquiries and deliver bill-related correspondence, improving the customer experience.

Electronic Routing for Professional Review

In cases that require specialized review, proprietary technology can electronically route files to an appropriate professional (certified coder, registered nurse, or physician) for review, including independent medical exams, to help adjusters make sense of the claim and lower risk.

Data Analysis

Descriptive analytics allow insurers to gain valuable insight into provider activity, risks, and trends.

CCC First Party Claim Portal

A new mobile channel for capturing first party casualty claim information. Innovative and intuitively designed, First Party Claim Portal introduces ease and transparency for the first party claimant while minimizing adjuster touch points for low-complexity claims. The portal provides an additional channel for customers who want a self-service option for submitting claim information. First party claimants can easily upload bills and other documentation related to their claim to streamline the process and track its progress.

PPO Program

Preferred provider organization (PPO) networks, through contractual arrangements with medical service providers, offer CCC’s casualty customers access to potential discounts off regularly charged provider rates, including discounts off state fee schedule rates, where applicable. CCC Casualty partners with multiple regional and national PPO networks to bring access to contractually discounted rates to our casualty customers. CCC Casualty’s PPO Network Program includes only PPO networks whose contracts with providers specifically include discounts for automotive medical, PIP, or first party liability programs to support discount acceptance. The CCC First Party Casualty Solution facilitates electronic bridges with network partners to enable a seamless and quick PPO rate application process.

Technologies

The CCC First Party Solution delivers an intelligent rule engine that applies insurer-driven rules and is built to process big data quickly. CCC maintains billions of combinations of medical codes to help process your bill efficiently.

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