First Party Casualty Solutions
Automate and expedite the first party bill review process with CCC Casualty Solutions.
How It Works
CCC’s First Party Casualty solution applies an intelligent rule engine based on insurer-specific rules to process claims data quickly and segment payment-ready 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 analytics dashboards to visualize trends and industry benchmarks.
Smarter Bill Review
Streamline medical bill review with an intelligent rule engine that applies insurer-specific rules, jurisdictionally specific rules, exception handling, pricing review and fee comparison tools for fast, accurate audits.
Digitized Bill Intake and Management
Our document management solutions include the latest scanning technology, automated routing of claims based on insurer rules for faster processing, and a digital workflow that’s entirely visible and searchable, all designed to help insurers handle claims with greater efficiency and control.
Electronic Routing for Professional Review
In cases that require specialized review, proprietary technology electronically routes files to the appropriate professional coders, physician, or nurse for their review, including independent medical exams, to help adjusters make sense of the claim and lower risk for error.
Live Communication Support
Call center and mailroom services are offered to serve inquiries and deliver bill-related correspondence and payment, improving the customer experience.
AI-enabled Data Analysis
Use descriptive analytics and predictive AI to gain valuable insight into provider activity, risks, and trends.
The CCC Casualty Solutions rule engine maintains unique business rules covering over 26,000 medical codes.
Tens of thousands of medical codes produce billions of code combinations, requiring the same volume of programmed business rules.
The CCC First Party Solution delivers an intelligent rule engine built to process big data quickly. CCC maintains billions of combinations of medical codes to help process your bills efficiently.