ATS.NET Core

Your fully customizable interface for access to modules, dashboards, diaries, email, data exploration, and other features

This console is a complete, end-to-end application designed to provide you with all the tools needed to make a streamlined and efficient process. Customizable alerts, emails and ATS Diaries based on business rules via the ATS/Workflow utility.

Multi-line Liability

The ability to manage claims, track all assets ie. commercial property, vehicles, drivers, equipment, and more.The complete solution for tracking and administering all lines of coverage including crime, property, automobile, cargo, medical malpractice, product liability, flood, fire, title insurance, police liability, boiler & machinery, etc.

This module is a complete, end-to-end application designed to provide you with all the tools needed to make liability claims management a streamlined and efficient process.
Our software will guide users from incident reporting through the “promotion” of an incident to a liability claim and on to financial management and comprehensive claims analysis reporting.
Stong financial and reporting modules will enable you to keep your eye on the bottom line.
Customizable alerts, emails and ATS Diaries based on business rules via the ATS/Workflow utility.

Workers’ Compensation

The industries most complete solution for state and federal claims related to the work-place.

. ATS provides the key with a complete risk, claims, and safety management system that enables you to manage, manipulate, and analyze information to help you make the sound business decisions needed to:

· Reduce the frequency of claims

· Get employees back to work ASAP

· Control insurance premiums

· Reduce the cost of loss

· Optional Bill Review module for additional savings

· Optional Medical Case Management Module

· Massive set of reports separated by category and style

· State EDI, ISO, AP, Disability Guidlines, and other interfaces

This module streamlines the workflow process. An advanced security system allows you to setup the specific tasks users can perform so they can get their jobs done quickly and efficiently.
Stong financial and reporting will enable you to keep your eye on the bottom line. Customizable alerts, emails and ATS Diaries based on business rules via the ATS/Workflow utility.
Powerful yet easy to use data entry forms are tailored to meet your and the state’s reporting requirements. Analyze losses and discover any trends that need to be addressed.

Events

ATS/Events is an Enterprise Risk Management solution that provides a single point-of-entry for common information related to a specific event and the related details for each potential resulting claim.

True end-to-end software, providing wizard and forms based entry of occurrence and related incident information, including witness, safety, medical, and other edits based on data-driven business rules that allow you to notify and respond in real-time via customizable alerts, emails and diaries according to business rules established using the ATS/Workflow utility. External entities can even be notified while the claims office or carrier responds to the first notice. Risk managers are able to look at the complete picture without moving around to find all the pieces. All related records are linked to the event regardless of claim type and what stage in the process. Photos, witness statements, and other documents can be uploaded and attached to an event. ATS/Event feeds information directly to the ATS/Comp and ATS/PaC modules for unsurpassed automation. The module helps organizations maintain full control from first report to annual reports.

Safety

The ATS/Safety module is a web-based solution that provides users with the ability to maintain information about safety.

The ATS/Safety module is a web-based solution that provides users with the ability to maintain information about safety.

Employers’ reports

The employer’s Report of Injury module is an optional, add-on module designed to assist you in filing a First Report of Injury with the State or Federal Jurisdiction.

Create a new report according to the state’s current specifications and format, or with a custom workflow.

Prints the Federal and All States first reports of injury. Complies with ISO and all States EDI requirements. Loss Coding allows for the determination of adequate safeguards and equipment where provided. Analyze employees that used the safety measures. Promote the report when a claim has been filed to eliminate having to retype the relevant information. Customizable alerts, emails and ATS Diaries based on business rules via the ATS/Workflow utility. Keeps your “incidents” out of your claim tables. Includes extensive diary, notes and time billing features. Successfully integrated with numerous HR and Payroll Systems for proper employee and wage verification. Import/export features for incidents from/to external systems.

Bill Review

“Your Way” – UCR, State/Federal Fee Schedules and support for HMO/PPO’s are included.

Available on-line or installed at your site.

Various pricing options include ASP, Per Line, Percentage of Savings or Purchase rights of use.

Fair Setup Fees, Support and Training.

EOB’s, UCR and CPT procedures by zip code, CPT bundling/unbundling, and NDC tables for drug re-pricing capabilities.

Duplicate checking and workflow edits for items such as follow-ups.

The program checks to see if the specified vendor has a valid HMO/PPO. If so, it will utilize the HMO/PPO’s rate table. When a rate table is not specified (or found), the vendor’s State table is used.

UCR percentiles are utilized by the program, based on the provider’s zip code, for the line items ignoring the $ per Unit value in the fee schedule.

Override State flag can be set to instruct the program to calculate the amount of the line item using both of the above methods and display whichever amount is lower.

Case Management

Do pre-certifications, specifying the (primary) care physicians, track diagnosis, IME, AME, QME and other referrals while documenting physician treatment plans. Interface to ODG, ACOEM, and state guidelines.

Store information about the on-going medical treatment associated with a claim. This information includes the treating physician(s), diagnosis, treatment plan, prescriptions, appeals, referrals, reviews, second opinions, and independent examinations.

The Treatment Plan allows users to document information pertinent to the case. And, the timestamp feature can be used to maintain a chronological history and identify the user that made each entry.

The Pre-Certification screen allows users to document the Utilization Review process for requested procedures and produce standardized forms/letters that comply with State requirements, such as approval and/or denial letters.

An integrated browser provides direct access, via the web, to the Official Disability Guidelines (ODG) information about each Diagnosis Code, to assist with the Utilization Review process.

Users without Case Management rights have restricted access and can only enter information about Care Providers and Diagnosis Codes.

Fully equiped with correspondence and time billing features for a complete solution.

Absence-Disability

Run as a stand-alone system or combined with ATS/Comp to offer complete 24 hour coverage.The complete solution for tracking and administering non-occupational absence. Manage plans and benefits in coordination with Workers’ Compensation to allow a concise view of all absences.

•  Administer STD, LTD and other employee absences.
• Print checks and/or exchange data with AP and Payroll.
•  Includes tax calculations and generation of the W2.
•  Disability Guidlines and other interfaces.
•  Extensive Notes and diary system.

Customizable alerts, emails and ATS Diaries based on business rules via the ATS/Workflow utility.

CMS

Medicare Secondary Payer Reporting is Mandatory, ATS provides a solution for all liability insurance (including self-insurance), no fault insurance, and workers’ compensation insurance providers who must comply with Section 111 of the MMSEA (Medicare, Medicaid and SCHIP Extension Act.)

Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) (P.L. 110-173), adds new mandatory reporting requirements for group health plans, liability insurance (including self-insurance), no-fault insurance, and workers’ compensation. The purpose of the Section 111 reporting process is to enable the Centers for Medicare and Medicaid Services (CMS) to correctly pay for Medicare covered items and services furnished to Medicare beneficiaries by determining primary versus secondary payer responsibility. For more information about Section 111 reporting, please visit;

ATS offers a solution for Section 111 reporting for providers of liability (including self-insurance), no fault and workers’ compensation insurance. We are currently working through the compliance process with clients using our risk management products.We can do the same for your company with our stand-alone Section 111 Reporting product. Registration with the Coordination of Benefits Contractor (COBC) must be completed between May 1, 2009 through June 30, 2009. At that time, your company as the Responsible Reporting Entity (RRE) may designate your agent, ATS, to handle the file submission process. After registration, ATS will assist you in setting up your reporting system so you’ll be ready to start when testing begins on July 1, 2009. ATS has years of experience developing a wide variety of interfaces with both private and government agencies so getting approved for production will be no problem.

Underwriting

Manage renewals, payments, cerificate requests and billing.

Collect renewal  information, manage certificate requests and bill premium.

Security settings allow for end users to see only relevant renewal information and certificate status. Other back office functions such as billing preparation and approval are set at the user or group level.

Send out billings or exchange this data with your current AR system. Make unallocated payments to vendors such as brokers and insurance companies.

ATS Portal

ATS/Portal is a module that provides the ability for external users to enter incident information into the ATS system for subsequent processing by the claim management staff.

The ATS/Portal can provide access to PDF forms that the user can fill out and submit or it can be configured to also allow users to register and enter the information through pre-defined data entry screens. Our software will guide users from incident reporting through the “promotion” of an incident to a claim and on to financial management and comprehensive claims analysis reporting.

Stong financial and reporting modules will enable you to keep your eye on the bottom line.

Customizable alerts, emails and ATS Diaries based on business rules via the ATS/Workflow utility.

Document Management

This add-on module designed to assist you in electronic storage of all your documents.

The EFC module will import documents directly from your workstation or by scanning documents directly in with indexes. OCR scanning with automatic indexing is available. File organization is customizable and fully searchable. Once imported, a quick document link is embedded in the claim and financial history screens for easy document retrieval. Email a document directly out of the EFC with a few easy steps.

EFC module features:

· Scan and import documents into the system, while attaching the document to a specific claim.
· Direct document link from the claim screen.
· Import a file from your computer or the network and attach to a claim at the same time.
· Emailing a document directly out of the EFC module.
· Create your own document indexes and document folders.
· System alert feature which emails a user when a document has been placed in their folder.
· Optional OCR feature for automatically capturing claim or SSN info and indexing documents to a claim.
· Extraction feature for downloading a group of documents from the EFC to your computer.
· Search documents on multiple criteria.
· Easy to use web-based interface.
· Fully integrated with the ATS claims system.

Services

Professional and IT Services

Additional services include Hosting, Colocation, Cloud, Managed Services, Disaster Recovery, Desktop as a Service, and professional services, including Infrastructure Transformation and Cyber Security.

Data Centers

WEST – Denver, CO Las Vegas, NV Phoenix, AZ Portland, OR Salt Lake City, UT

CENTRAL – Cincinnati, OH Dallas, TX Louisville, KY Minneapolis, MN Nashville, TN

NORTHEAST – Allentown, PA Philadelphia, PA Richmond, VA

SOUTHEAST – Atlanta, GA Charlotte, NC Fort Lauderdale, FL Jacksonville, FL Raleigh, NC Tampa, FL