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General Claims Management Functionality
Lines of Business Modules
Optional Modules and Interfaces
Hardware/Software Requirements

Optional Modules and Interfaces

JW provides a variety of optional modules and interfaces to further improve our client’s productivity. Implementation of these modules vary from client to client and provide another level of customization to further meet our client’s business requirements.

  • FH Web Reporting Module
    The FH Web Reporting Module provides a web-based vehicle for clients to ‘push-out’ 1st Notice of Loss and/or 1st Report of injury reporting to those outside the organization, for example, clients of a TPA or members of a risk pool. The Module includes unlimited access to the reporting page to allow flexible distribution for reporting claims via the web.

    The standard configuration of the module includes a simplified 3-step wizard to submit loss information. When the user uploads the data, the FH Business Automation Module is configurable to automatically send out a notice via e-mail of submission to a specific person or a distribution group.

    Once the notice and/or Report are submitted, the data is stored in a specific queue that is reviewed internally to determine the validity or status of the report. After the review process, the client has the option to make a determination to convert the report to a claim or leave the report in an incident status.

    JW also offers customization to the incident screen on a time and expense basis.
  • FH Accounts Payable Interface
    The Accounts Payable Interface is a fully configurable one-way or two-way interface designed to transfer payment data from FileHandler to your Accounts Payable or Check Writing System. The payment information is extracted from the system with FileHandler configured to receive the check date and check number from the AP System
  • FH Positive Pay Interface
    FileHandler provides an interface with your specific banking institution(s) as a fraud detection tool. Positive Pay information is exported from FileHandler to notify the bank of which checks have been issued, for how much and to whom. This data from FileHandler provides the bank with the necessary documentation to deny funds in the event a check has been tampered with or altered in any way. The Positive Pay module works in conjunction with the FileHandler Bank Reconciliation module (included in the base system) to provide a total check reconciliation/fraud detection tool.
  • FH Human Resource Interface
    This optional interface between your organization’s Human Resources database and FileHandler allows for ease of claim entry and increased efficiency. The general employee information (name, address, SSN, employee number) is stored in the employee tables in the FileHandler database and populates pertinent fields within FileHandler when the social security number is entered. This module greatly reduces time on claim entry and duplicate manual entry.
  • FH Medical Bill Review Interface
    FH provides a standard medical bill review interface designed to import medical payment information into the system from a third-party bill review software system. The two-way interface exports vendor and claim information from FileHandler (including images) to your bill review vendor’s system and imports payment information (including) EOR/EOB from the bill review system into File Handler for check issuance. The interface also includes the ability to incorporate medical treatment information from the third party bill review software system with the EOB displayed on the payments page and printable either as the stub of the check* or on a separate page.

    *Requires the FH Custom Check Stock Module
  • FH ISO ClaimSearch Interface
    The FH ISO ClaimSearch Interface is a two-way, real-time interface that provides clients an automated tool for investigating and identifying claim histories of insured parties and claimants. The real-time interface is designed to export claimant/insured data from FileHandler and in the event of a match, import the data (along with other system information used to further verify the claim report) into the applicable claim file. The interface supports ISO ClaimSearch version 5.4 and includes verification of claimant/insured party information including property information, salvage and subrogation data, etc., The interface is configurable to automatically notify the claim handler of the match via a diary generated through the FH Business Automation Module.
  • FH Payment Combination Module
    The FH Payment Combination Module provides clients the opportunity to custom design a module that combines (per the client’s specifications) the perameters by which payments are represented and displayed on each unique claim file yet combined on one check to expedite the check printing process. Clients define such parameters as:

    • Earmark preference for payment combination at the payment level, checking account level and/or both.
    • Definition of combining matches for check combination (by SSN, TIN Number, Mailing Address, etc.)
    • Define if combination of check is to be required/limited across Lines of Business
    • Define EOR/EOB printing process (attached to stub of check, printed separately with dual-bin collating, etc.)
  • FH Document Imaging
    FH Document Imaging provides both a powerful, fully integrated and fully functional imaging product into the application and a workflow that provides the necessary tools to move clients to a paperless work environment.

    FH Document Imaging gives the user the ability to scan and attach multiple page documents to the claim file. Any documents relating to the claim can easily be scanned and attached to the appropriate section of the file.

    FH Document Imaging Functionality

    • Medical bills are easily attached to check and payable records.
    • Witness statements attached to witnesses.
    • Court documents attached to Subrogation or Litigation parties.
    • Any correspondence may be attached to professional records, Insured or Claimant parties.
  • FH Custom Check Stock Module
    For those clients requiring customized checks to be printed with MICR coding on blank check stock, FH integrates the Custom Check Stock Module. This module includes one license of MICR font software and two custom designed check styles to be printed on blank check stock. Each unique check style includes up to two signatures and 1 logo on each check. Development of additional check styles and logos are invoiced on a time and expense basis.

    The module also incorporates the ability to annotate documents with sticky notes, highlighting, lines, shapes, etc. In addition the module contains a fully integrated OCR (Optical Character Recognition) function that allows scanned images to be automatically converted to an appropriate file type for further editing or export into another system.
  • FH Document Imaging Workflow
    The system is configured to retrieve documents, images, etc., from a central network repository designated and supported by the client’s system administrator. The repository is populated with electronic files from the scanning of images, documents, etc., via a process managed by the client.

    From the FH Document Imaging Module, the user selects and reviews the image by opening up the file from the central repository or folder. Users have the option to edit the image, add sticky notes/electronic stamps and/or make textual changes/additions, etc.

    Upon completion of the review process users have the option to move the image directly into the ‘Process Images’ workflow for further review or capture additional header information, i.e., claim number, description, category, etc., and set the image in an ‘approved’ status for attachment to the file from the ‘Process Images’ workflow page.

    From the ‘Process Images’ page, images can be reviewed and attached to the file, deleted or put on hold. Users also have the option to search and open up the claim file for additional review prior to attaching the image to the file.
  • FH Fee Checker Module
    This module provides a method to re-price medical bills using a fully integrated process in FileHandler. Clients will license the applicable fee schedule for the specific jurisdiction(s) along with the applicable re-pricing rules. The module’s one-time costs include a loading mechanism for the data (which can be continually used with each subsequent update of data) along with the initial development of the re-pricing rules for each jurisdiction. Development costs for updates to re-pricing rules are billed on a time and expense basis. Module costs also include the development of one customized EOR form.



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