Technology is the Game Changer
To effectively manage a claim requires the collection and review of lots of information. This information is kept in Dynamics CRM, with hundreds of fields of data on each claim that are used to structure and manage the disability claim review and recommendation. MMRO has the flexibility to choose which fields will be used in their portal solution, and only select fields that are accessible through secure access. This protects the highly sensitive information being reviewed for the claim.
Each claim consists of up to 20 electronic files, which can add up to 50-100MB of information per claim. Electronic files are attached to claims online through a customized implementation of The Portal Connector and then stored in CRM with SharePoint. Managing this data in a highly secure environment is of paramount importance for privacy.
Since each public sector client has unique rules and legal requirements, the role based security for accessing and submitting data is specific to the client. The Portal Connector provides tight role based security, along with flexibility to meet the unique role based requirements for each client,
which is absolutely key to the success of the disability claims process.
The Final Step in the Claims Process
To finalize the disability claim review and make an expert recommendation on the eligibility of the claim, all aspects of gathered data needs to be compiled into one report back to the client. The Claims System in CRM is the hub of all information related to the claim and is used to populate the final report. Without a reliable hub of centralized information, this report would involve time consuming manual processes to compile.
Key Improvements to MMRO with The Portal Connector:
- Sensitive Health Information is Protected and Securely Accessed
- Can process the attachment of large documents like x-rays, MRI’s and other medical information
- Interfacing directly with Dynamics CRM means all data is in one secure platform
- Submission process is simplified and can be automated through the disability claims process