e-Claims User Manual © 2005
Contents
1. 5 5 5 How to Check the Status of Batch Records The e Claims system will send a message to your Message Board after you have uploaded a file This message will include a link to the Batch Acknowledgement Report This report will include a detailed list of the status of all claims in your batch It will also include a list of errors if any exist 5 5 6 How to add new physicians User Administrators for the firm may add a new physician to the firms physician table That physician however must exist within the CRMC Master physician table To add a new physician use the Add Law firm Physician tab from the Law firm Service tab Add Physician for Dummye ind New Physician By Last Name You may enter the full or partial Physician Last Name You may then select your physician from a list matching your nteria Submit Query Clear Figure 5 19 Add Physician Screen To add a new physician you will begin typing the physician s last name Then click Submit Query If a physician is found with the same last name a list of each matching physician will be displayed Claims Resolution Management Corporation page 35 of 51 Add Physician for Dummye Select Physician Select a Doctor j View Physician Details Back Figure 5 20 Select Physician Screen You may then select the appropriate physician Add Physician for Dummye 233 SMITH Type Code JAMES SSN T B Reader Rating WV ADR Suspect Add Physician Back2. Trust Claim ID Name Cat Lwl Action View MY THOMAS BROCK DECOHAUISQP Figure 5 10 Claim Listing Screen 5 4 4 The Claim History Screen Use the Claim History screen to see the major events that took place in the life of the claim Claim History Claimant Name Hold Status User Name Event Description OM Values New Values 07 31 1995 Check Payment Reconciled 07 20 1995 Check Offer w Response Form Sent 07 19 1995 Selected for Payment Process 07 14 1995 Selected for Payment Process Pay Select Conversion 12 15 1993 Categorzation Review Override 11 11 1993 Clam Categorized 04 12 1993 Invalid Diagnosis Record C M LCI 000000 03 17 1993 Questionnaire received CL0 CLEO 1231 1992 Questionnese sent CL40 CL 50 09 28 1992 Questionnasre prepared 1CL4 05 22 1992 Claim reassigned heins craig assignedid heins assigned id craig 07 03 1989 Claim Assigned ADM 10 CL 30 11 28 1988 Clamant Added Figure 5 11 Claim History Screen Claims Resolution Management Corporation page 29 of 51 5 4 5 The Claim Activity Screen Use the Claim Activity screen to see all internal notes associated with a claim This page is available to CRMC staff only Activity Log Claimant Name THOMAS BROCK Claim Status Settled Pad Customer Name POC Add Note Back 2 Activity Notes found for this claim Tracking User Add Date Name Note matrixed as 3 This appears to be a smoking lung cancer two notes
3. 9 Person Entry Update Screen Entering a claim as Exigent Health or Hardship CRMC users may approve a claim for Exigent Health EH or Hardship HS Status From the Law firm Service menu select EH HS Status page EH HS Status Please enter POC and cick the Continue button to contmue POC _Contiewe_ Figure 7 10 EH HS Status Screen Once the Law firm is selected you must enter the claimant ID The following screen will then be displayed Claims Resolution Management Corporation page 45 of 51 EH HS Status POC 855433 m Claimant Name Nancy CDTTes Claim Status Awaiting Document Submission EH Request HS Stans Request Status os Request Type s Approved Date Dersal Date Figure 7 11 EH HS Status Screen Either the EH Request information or HS Status field will be completed Claims Resolution Management Corporation page 46 of 51 7 5 How to Create and Maintain Quality Control QC Routines From the analysis tab you will select the Maintain QC Routine option The QC Audit List screen displays all available QC routines From this page you can select an existing QC test to activate inactivate edit or add a new test Figure 7 12 QC Audit List Screen 1 Click Run to create the TestGroup of Claims 2 Click Activate Inactivate to Start End the Test 3 Click Copy to create a NewTest 4 Click Edit to View or Change Test Cntena Figure 7 13 QC Routines Screen Creating a QC Routine Use the Create Ne
4. Law Office P A Edit Office Name l Inactive I Main Office Office Address Clear Address Veem 00000 3 Address Line 1 Address Line 2 City a f US State State Province Region Zip Code Postal Code Daytime Phone md D umm Fax Number d Formatted Example 001 202 5555555 Back to Customer Info Save Office Add New Figure 7 8 Add Update Office Screen Claims Resolution Management Corporation page 44 of 51 1 Enter the required fields on this screen If you check that the office is the Main Office but another office had previously been designated as the Main Office a warning message will display 2 Click the Save Office button Note If you are adding this office for the first time a message will display informing you that you must add the attorney for this office The system will display the Person Entry Update screen so that you can add the attorney record 7 4 3 Entering Maintaining Law firm Staff Information Use the Person Entry Update screen to enter information about a user Create Update Person Update Existing Person Edit ID First Name MI Last Name Suffix j E mail Type Office Name North Miami j Daytime Phone Main Contact Formatted Example 001 202 5555555 User Login Information User Name User Home Page t f mI D Save Person Clear Figure 7
5. SCHONFELD AL VIN J Chicago lL 68 Date Pemonal Phygiian netted MM OD Y Y Proceed to Yes No section 5 Physician SSN Date of Reading memit heee 07 26 2002 16 Is there a medical report fom an in person physical exam confirming a diagnosis of pleural disease Figure 4 7 How to Submit a 2002 claim Claims Resolution Management Corporation page 24 of 51 5 Part V Managing 5 1 How to Accept or Reject an offer Use the Offer Status screen to accept or reject the offer that you receive for your claim This page may be accessed by clicking the O action link Offer Status Claims Claimant Customer SSN Value Type Claim Status CatLvl How do you wish to respond No responses available for a claim with a status of STTLDPD MON Ped ose Copyright 2000 2008 Claims Resolution Management Cotpecation All ngMs reserves Figure 5 1 Offer Status screen You can use this screen to accept the offer reject the offer elect ADR or IE reissue a check or print a copy of the offer or denial letter 5 2 How to Delete a Claim Use the Delete Claim screen to delete the claim record from the e Claims system Claims may be deleted up to the point where it has been submitted Claims Resolution Management Corporation Claimant Entry Please enter a Claimant ID Foaneud Exanple 12345 Continue Figure 5 2 Delete a Claim Claims Resolution Management Corporation page 25 of 51 Delete Claim You
6. Screen 7 5 1 How to remove a claim from Quality Control Itis necessary at times for CRMC Management to remove a claim from the QC queue In this instance the Manager would access the Remove QC Claims page from the analysis page They may enter either an individual POC number a group ID or a law firm name Once complete they would use the remove claims option If there is no entry in the QC queue a message will be returned In the selection of a group or law firm it will just return the number of claims to be removed and require a confirmation Remove QC Claims Please select or enter one of the following criteria Customer Show Pro Ses Group POC Founitiet Exenple 1245 M Remove Claims Figure 7 16 Remove QC Claims Screen Claims Resolution Management Corporation page 48 of 51 7 5 2 Checking for Documents in the DMS Use the Documents on File screen to see a list of all documents that have been scanned into the DMS for a claimant This feature can be accessed from the T action link List of Documents Date Received No documents found for this claamant Figure 7 17 List of Documents Screen 7 5 3 Deactivating and Reactivating a Claim The system will automatically deactivate a claim and update the claim status after a pre determined time period Use the Reactivate Claim screen to reactivate the claim When reactivating users have 2 options They may choose to recategorize which will re set the FIFO
7. are about to delete this clan Continue POC 1100100 M Claimant Name Hulk H Hogan Jr Claimant SSN CustShortName GLASSER amp GLASSER Delete Claim Cancel Figure 5 3 Withdraw a claim in pre offer status 5 3 How to Withdraw a Claim Use the withdraw claim screen to halt all further processing of the claim This option is used after an offer has been posted Claims Resolution Management Corporation Proof Of Claim Ent Please enter a POC Number Exespls 123M Submit In this first screen you will be prompted to enter a Claimant ID Figure 5 4 Withdraw Claim Screen Claims Resolution Management Corporation Duplicate claims were found for 1100100 M please select one Claim ClaimiD Date 1000101 1 15 2002 1000103 1 15 2002 Figure 5 5 Withdraw claim screen with duplicate entry found If the system finds valid duplicate POC numbers it will prompt the user to pick which claim to withdraw Claims Resolution Management Corporation page 26 of 51 Withdraw Claim You are about to withdraw this clam Continue POC 533443 M Claimant Name HUBERT J AANONSEN Clamant SSN 473148591 CustShortName GLASSER amp GLASSER Withdraw Claim Cancel Figure 5 6 Withdraw a claim in offer post offer status 5 4 How to Find Information about a Claimant There are a variety of ways in which you can find information about a claimant in the e Claims system 5 4 1 The Claimant Locator Screen Use the
8. but the claim will automatically be assigned a category of Zero 0 Manville Trust CDT 2002 for Francis J Cassidy Jr Required Documents Check all documents that have been approwed MedhyOther 4 1 2003 Acs Med Other 10 28 2003 SHRAGER Figure 7 3 QC SOE Review Screen They will thus run the CDT based on the medical records available in the DMS They must then indicate if the requested QC documents are acceptable If they are not acceptable the claim will automatically be assigned a category of Zero 0 The CRA will then review the QC CDT results to the original claim results When the CRA has completed the QC CDT the QC CDT Summary page displays The CRA can choose to make the QC CDT results become the active CDT for the claim If keepQCAudit is selected theQC result will be set to Fail Queue based on status date Claims Resolution Management Corporation page 40 of 51 QC COT Summary 13530105 1696 M au we nog oae COT Gurstions a OM wm o O 0 en ALERTER 7 gt Comet tere Frere 6e Coe Gants t Voce Tadi a Ta dE amp Cun vi os ocu u out Ave Dans paneo Mtn ary ha 12 des Parm patet i fodeqn vi em mo m rhet ced donee um o d o Poen nhet phate A aima honeste peaga me of te fep e Cons Due CP tee ur mo 14 Oen ae pigie an min Per mpl ad Lo anie Da opt dn eie se SS UTE an Dos gpm 1 u mo ien ser oe Ap Re demeti sa
9. by all users What s New in e Claims Recent enhancements to the e Claims system are posted here e Clams Enhancements Update March 3 2003 e Clams Enhancements Update Apri 4 2003 e Clams Enhancements Update Apni 15 2003 e Claims Enhancements Update May 29 2003 Technical Support Procedures July 25 2003 e Clams Enhancements Update September 8 2003 e Clams Enhancements Update September 16 Figure 7 23 What s New in e Claims Screen
10. click the Next Claim button to display the Add Claim page The next available unassigned claim form in queue will be assigned to the CRA and the Claimant ID presented on the screen The Claimant ID that had been assigned to this record will be added to the claim record in e Claims but the form itself will be blank Using the image of the claim form in the DMS as a reference enter the claim demographic information into e Claims Save the record and or continue to the CDT 7 2 3 Next QC A variety of QC routines have been created so that CRMC can review and audit claim data If a claim is selected to be part of a QC test the Law firm may be requested to supply supporting documentation To display the next available claim record that is eligible to be QC d click the Next QC button The Claimant ID will be displayed The CRA will then open the electronic file in the DMS If the claim being QC d is a level 3 4 5 or 7 the CRA must first verify SOE information QC CDT You are about to run a QC for Claimant ID 937451 Thus claim qualified for SOE is the SOE affidavit acceptable nas nes 30 to7 a val 1ns57 ins78 o 107 a usa amp Pins inses 30 107 w Usa _ Figure 7 2 Next QC Screen Claims Resolution Management Corporation page 39 of 51 The CRA must indicate if the requested QC documents are acceptable If they are not acceptable the CRA should still run the QC CDT
11. paperwork But today the most efficient way to enter submit and collect data is over the Internet via the World Wide Web The Internet is a loose association of thousands of networks and millions of computers across the world that work together to share information The World Wide Web on the other hand is the graphical portion of the Internet that you see when you connect to it through your Internet Service Provider ISP The World Wide Web physically consists of your personal computer web browser software a connection to the Internet through an ISP computers called servers that host digital data and routers and switches to direct the flow of information 1 3 1 Browsers e Claims supports any browsers which is based on a Mozilla engine 1 3 2 Screen Resolution Another factor to consider when using the web is the resolution or size of your screen Its size is measured by the amount of information a monitor can display horizontally and vertically as measured by the number of dots called pixels which fit on the monitor Most computers come from the factory with a monitor resolution of 800x600 pixels but some may be as low as 640x480 or as high as 1024x768 or more When you use a lower resolution the images and text on your screen appear larger Consequently when you use a higher resolution the images on your screen are smaller This is useful if you want to display more information on your screen You can adjust your screen resoluti
12. person 2 Update To update and existing record select the User name from the drop down list of Existing Users After a short pause the system will display the existing record and you can change the record 3 New Password To change a user password click the Reset Password button The system will automatically email the new password to the user The password does not display on the screen Create Update Person ID First Name MIE Last Name Sufix I E mail Type Office Name North Miami Daytime Phone l Main Contact Formatted Example 001 202 5555555 Home Page y Figure 6 1 Person Entry Update Screen Claims Resolution Management Corporation page 37 of 51 7 Part V CRMC Staff Functions 7 1 CRMC Staff Roles and Responsibilities The following CRMC staff roles have been defined The roles determine which screens that a user can access The roles that are currently defined are Law firm Relations Analyst CRA CRAs enter and maintain claim data for paper filers perform Quality Control QC tests and handle Law firm inquiries and problems Law firm Administrator CA CAs enter and maintain Law firm records investigate and approve new physicians and PFT facilities review and approve EFAs and also handle Law firm inquiries and problems CAs use the Law firm Inquiry Tracking Board as their homepage Analyst Analysts are responsible for creating QC routines and re
13. will display this information on a separate window called a pop up window Click the Close button to return to the previous page Manville Trust CDT 1995 for GENERAL L COLE To qualify for category 7 the claimant must meet the following requirements n Category 7 Requirements Yes No Malignant mesothelioma No You must choose Mesothelioma in response to the following question Fa there medical report diagnosing a cancer of any of the following types check all that apply There must be medical report confirming pathological findings of malignant mesothelioma First exposure must have been before January 1 1989 in an acceptable industry and occupation There must be at least 10 years between the year of first exposure and the date of diagnosis Figure 4 5 Explanation of Category screen Claims Resolution Management Corporation page 21 of 51 4 2 The 2002 Categorization Decision Tree CDT 4 2 1 How to use the 2002 CDT hf Manville Trust CDT 2002 for CHARLIE R TORRES History Quit Are there pathological findings of any of the following asbestos related disease s from a board certified pathologist Check al that apply Report Date mm dd yyyy Mesothelioma Lung Cancer Colorectal Cancer Esophageal Cancer Laryngeal Cancer Pharyngeal Cancer Stomach Cancer Interstitial Lung Disease Pleural Disease LILELILISLISLISEISLISLI Copyright 2003 Claims Resolution Management Corporation All a
14. you may select either PDF Portable Document Format or TAB Tab Separated quoted Text 4 Click the View Print button to view a printable copy of the report Claims Resolution Management Corporation page 33 of 51 5 5 3 How to Request More Information or Get Help To contact CRMC Law firm service staff click the Contact Us link which is located at the top of each page within the application This link will display the Add Law firm Inquiry page Note you can access this page from the e Claims home page without logging in to the system 1 Depending on how you accessed this screen the system may pre fill some of the fields such as Law firm Name If these fields are blank enter Law firm Name Law firm User Name and POC Number if the inquiry is claim specific 2 Select the Inquiry Type from the drop down list 3 Enter your comments in the Inquiry text box Click the Add Inquiry button Customer Inquiry Tracking Board Please enter filter criteria CRMC Customer User User Example FirstNaue Lasthaure POC Status j Type Number fovratted Example 12345M Customer Select Customer Name Total Unresolved Issues Total Unassigned Issues Tracking Type CustomerUser CRMC User Date Logged Last Note Date Notes Add New Issue Display Issue Assign New Inquiry Clear Figure 5 17 Law firm Inquiry Screen If you are a CRMC user you have additional options on this screen that La
15. 345M Trust No Trust Customer Type or Customer Name Select Customer Preview ECAP Reset Figure 7 19 Create Payment Group Screen 7 6 2 Create a Payment Batch Use the Create Payment Batch screen to create and activate a batch of instructions to be sent to the accounting system Create Payment Batch Figure 7 20 Create Batch Screen Claims Resolution Management Corporation page 50 of 51 7 6 3 Creating the Monthly GL Report Use the Create GL Report screen to create a report of all GL transactions that have occurred in a defined time period Create Monthly GL Report Enter the date range and GL Report ID for this report Start Date End Date Formatted Example MMWD YYYY GL Report ID Continue Cancel Figure 7 21 Create Monthly GL Report Screen 7 6 4 Reversing a Settlement Law firms may accept a payment but then change their mind and decide to reverse withdraw or otherwise change the status of a claim that has already been settled If the Law firm has already been sent a payment the Law firm must reimburse the settlement amount before the claim status can be changed CRMC users will use the Reverse Settlement screen to enter payment reimbursement information from the Accounting tab All settlement reversals must be approved by CRMC personnel Claims Resolution Management Corporation Proof Of Claim Ent Please enter a POC Number Erap 123 4 Submit Figure 7 22 Reverse Settlem
16. CRM RESOLUTION AGEMENT CORPORATION e Claims User Manual 2005 Claims Resolution Management Corporation page 2 of 51 1 Part I The e Claims System 1 1 Introduction 12 How this Manual is Organized 1 3 Using the Internet to Enter Data 1 3 1 Browsers 1 3 2 Screen Resolution 1 3 3 Web Security 1 4 Assumptions Part II Accessing and Navigating e Claims 2 1 Navigating the e Claims System 2 2 How to Access e Claims 2 2 1 How to Log On 2 2 2 2 2 3 Claims Service 2 2 4 Analysis 2 2 5 Accounting 2 2 6 User Admin 2 2 7 Part III How to Enter and Submit Claims 3 1 How to Enter Online Claimant Information 3 1 1 Creating the Claimant Record and Checking for Duplicates 3 1 2 Claimant Information 3 1 3 Claim Information 3 2 How to Enter Online Claim Information 3 2 1 Law Firm Information 3 2 2 Litigation Information 3 2 3 Smoking Information 3 2 4 Exposure History Part IV Categorization Decision Tree s CDT S 4 1 The 1995 Categorization Decision Tree CDT 4 1 1 How to use the 1995 CDT 4 1 2 How to Submit a 1995 Claim 4 2 The 2002 Categorization Decision Tree CDT 4 2 1 How to use the 2002 CDT 4 2 2 How to Submit a 2002 Claim Part V Managing 5 1 How to Accept or Reject an offer 5 2 How to Delete a Claim 5 3 How to Withdraw a Claim 5 4 How to Find Information about a Claimant 5 4 1 The Claimant Locator Screen 5 4 2 The Claimant Listing Screen 5 4 3 The Claim Listing Screen 5 4 4 The Claim History Screen 5 4 5 The Claim Activ
17. Claimant Locator screen to search e Claims For law firm users the page will display the firm name at the top box as shown below For CRMC users they will be prompted to type the name of the Law firm for which they would use to find a claimant CRMC Claimant Locator Please Select a Customer Claimant Last Name Claimant First Name Claimant Middle Initial Claimant ID NENNEN Claim ID 7 Claimant SSN OR NUS D Formatted Fuzeyle 129456719 Submit Query Reset igure 5 7 Claimant Locator Screen The Locator screen will return the following results Claims Resolution Management Corporation page 27 of 51 Claim Listing For John W Smith Customer page 1 of 1 Trust Claim ID Name Cat Lvi Action View John W Smith FLN AWDEMOGRAPHIC DECOHAUISQP Figure 5 8 Claimant Locator Results Screen From the Claimant Locator search results page you have two options You may select the claimant ID for the particular claim you are interested in viewing In that instance you will be directed to the claimant Demographics page D link The second option is to select Claim Listing You will then be directed to the claim listing page From there you may select one of the action links Users may use the action code to maneuver to other pages within the e claims system The destinations are as follows D Claimant Demographics H History I Claim Detail E Claim Demographics A Activity Accessible to CRMC Staff onl
18. Figure 5 21 Physician Selection Screen If that particular physician is not available a message will be posted You must then contact CRMC s Law firm Administrator Please have the physician s full name city and state as well as their specialty available Claims Resolution Management Corporation page 36 of 51 6 Part IV User Administrator Functions Each law firm has staff who will act as the User Administrator s for their organization The User Administrator is responsible for setting up and maintaining the records for all of the e Claims users at their firm The User Administrator is able to add and change user records including making the user active or inactive The User Administrator can also reset a user s password The User Administrator cannot delete a user record It is also their responsibility to inactivate users that leave the firm 6 1 How to Create and Edit a User Record Select the Maintain Users link on the User Admin menu tab The Person Entry Update page will display The system will only allow you to enter or change user information for users associated with your organization Only CRMC Staff may update the CDT qualified date checkbox fields and batch per missions When you access this page all of the fields will be blank 1 Add To add a new user record fill in the required fields and click the Save Person button The system will save the information and then clear the page to allow you to enter another
19. Is Film Completely Negative Premaed ta Pesce No senon 2A Any Parenchymal Abnormalities Consistent with Pneumoconiosis 26 Small Opacities a Shape Site mmanry ec Or Yr y pis ps qt qt ru 3A Any Pleural Abnormalities Consistent with Pneumoconlosis 3B Meural Thickoning gt Dachragm oR t hn Profile OA B C i Wath ih Profile Uta Cart Fore 00122 in Extert ORL 30 Pleural Calcification on Ertert 0123 Ste Oraperagm b Wall 0129 0129 c Other Sites AA Any Other Abnormalitics 4D Other Symbols Obligatory a Greumscribed ipi egue Proceed to fecton 3 Complete 28 and 2C No Yes 2C Large Opacities Frotusion fw 0 NN n 105 M15 12 ate 22520 32 39 34 Site O AR rrocees to sien gt Proceed to savvy 4 Complete 38 3 awe 20 No Yes 3C Pleural Thickening Chest Wall b Oure oL on Ste OABC h Profile O AB C i th EPE hPrfleu 12 9 4 Cotere 0122 Fore 050122 in tere OL 23 2 Site a Oaperagm 01 2 0122 b Well c Other Sites e Fieceed te LI ton 1 Proceed to section 6 Complete Yoo qp ang ac No ax bu ca cn co cp cv di ef em es fr hi ho id ih ki pi px rp este Repot tema which may be of present clinical rignificance in this section 00 ac Other Comments 0 19 mole pae Den phyeclat DACIA Of comment in section SF 5 Physician ID
20. The first page is the message board summary page Law Office P A Message Board Please select a message group from below Message Description No Unread Messages Found Continue to Details Contact Customer Service Updete Retresh Page Figure 5 15 Message Board Screen To proceed to the message board detail page click on the date for which you would like to review messages The following message types may appear on your message board MessageTypeCD MessageTypeDescr BAR Batch Submission Error BAT Batch Submission CHX Check Expired CSO Subpoena Request CVD Check Voided DEA Deactivated DEN Denial Electronic Funds Transfer Notifications EXO Expired Offer EXP Explanation of Category FLW Final Warning for Offer Expiration Lien Contribution OFE Early Warning for Offer Expiration OFF Electronic Offer Posted OFW Offer On Hold Pacor Claim Added Claim Selected for QC Medical documentation required timeframe to Request for Information Notice of Law firm Suspension Claim Withdrawn Claims Resolution Management Corporation page 32 of 51 Law Office P A Message Board Details Please choose Filter criteria from the boxes below Date Person Trust MsgType Read Unread No Users Found j j Unread j omratted Example MMDO YYYY Back To Summary Print AJI Delete All Reed All Read Message Title Message Text D Date Person Claimant Unread No Messages Found Matching This Criteria Contact Cu
21. ad copies of many standard forms by clicking on the Documents tab and then selecting a form from a list This manual will discuss these both of these features in greater detail elsewhere Although these options are available to anyone who visits the e Claims Home Page in order to fully use the system you must have a User ID and a password Your User administrator will set up your security access and e claims will email your User ID and password to you in separate emails for security reasons 2 2 1 How to Log On All users will log on to e Claims using the log on box on the Homepage If you have already used User IDs and passwords on other computer systems then the e Claims logon and password box should be familiar If not entering this information is very easy Claims Resolution Management Corporation page 9 of 51 Gaims Resolution Management Corporation CONTACT US me Go to the Secure Site Must have logon and password Forgot your password Get a password hint Figure 2 2 The Log On Box 1 Type your User ID in the User ID field 2 Press the TAB key 3 Type your password 4 Click Submit The system will display your personal home page If you enter the wrong User ID password combination the system will allow you to try again If you fail three times in a row you will be locked out of the system If that happens contact your User Administrator Your User Administrator can use the system to create a new password
22. aining Law firm Demographic Information Use the Create Update Law firm screen to enter and save Law firm demographic information Create Update Customer CustomerID Duplicate Search Customer Name BENE Short Name Customer Type I HM Sew Customer Figure 7 6 Create Update Law firm Screen 1 Enter the required fields those denoted by an asterisk on this screen Click the Search for Duplicate Law firm button to check if the Law firm already exists in the system under a similar name 2 Click the Save Law firm button to save the Law firm to the database The system will refresh the screen You can add another Law firm on this screen or continue to the Add Update Office screen to enter location information for this new Law firm record If the system does find a potential duplicate Law firm record the Law firm Search Results pop up page will display Claims Resolution Management Corporation page 43 of 51 Customer Search Result Search Results For dummy 1 matches found Customer Name Dummy Law Firm Customer ID 666634 Short Name Dummy Law Firm Main Office F City Dummy State DC Figure 7 7 Law firm Duplicate Search Results Screen 7 4 2 Entering Maintaining Law firm Location Information Use the Add Update Office screen to add information about one or more offices associated with a Law firm Create Update Office Customer ID Customer Name Update Existing Offices 1320 A Abramson
23. ary screen Claims Resolution Management Corporation page 19 of 51 4 1 2 1 Explanation of Value This button appears on the CDT Summary screen and on the Offer Status screen You can press this button to see the factors used to determine your claim s offer The system will display this information on a separate window called a pop up window Click the Close button to return to the previous page Manville Trust CDT 1995 for GENERAL L COLE History Quit Explanation of Value Claim 10 for Claimant GENERAL L COLE With a Claim type of FIC has been valued at 0 on 11 17 2005 11 12 17 AM Injury Base Value of Injury Class Country Adjusted Value NRM USA 1 Set Off Liquidated Value Trust Payment Percentage Trust Payment Amount Figure 4 4 Explanation of Value screen If the claim type is SIC and the original claim was settled prior to November 19 1990 an offset will be taken for the full amount paid to the first injury claim If the claim type is REF that means it has been re filed under the 2002 TDP Again an offset will be taken for the full amount paid to the previous claim Claims Resolution Management Corporation page 20 of 51 4 1 2 2 Explanation of Category This button appears on the CDT Summary screen You may have received a different category level from the one that you were expecting Press this button to display the reason s why you did not get the category level you had expected The system
24. at individual as an employee through the Law firm info page CRMC will add individuals for paper filers Note if the details that pre fill about the Law firm or Attorney are not correct you must make your corrections to the appropriate Law firm or Person page Changes you make to this data here do not update the database record Claims Resolution Management Corporation page 14 of 51 DayTime Phone Facsimile E mail Address Figure 3 6 Law Firm Attorney Information You may also enter information about a Co Counsel in this section if necessary 3 2 2 Litigation Information Use this section to indicate if asbestos related litigation has been filed for this claimant You may copy existing information for the claimant if it was previously entered Litigation Information Figure 3 7 Litigation Information 3 23 Smoking Information Use this section to enter claimant s smoking history Smoking Information Has the injured party ever smoked If YES is the injured party a current smoker If NO what year did the injured party quit smoking Cancel Save Claims Resolution Management Corporation page 15 of 51 3 2 4 Exposure History Use this section to enter all exposure periods If you are unfamiliar with the definitions of each occupation and industry they are available on CRMC s website Country Exp Site Exp Type Vic Occ fic Type Edit Delete Edit Velete Figure 3 9 Exposure Information Not
25. automatically be added to their queue 7 3 2 Display Issue Selecting this option will display all issues ever assigned to the user 7 3 3 Assign New Inquiry When Law firms use the Law firm Inquiry form to contact CRMC the unassigned issues are put into a queue Click the Assign New Inquiry button to add the next available unassigned issue to your queue The system will display the Law firm Inquiry form with the Law firm information prefilled Claims Resolution Management Corporation page 42 of 51 7 4 How to Create and Maintain Law firms The CA s write out is responsible for creating Law firm records To create a complete Law firm record you must enter the following information demographics offices an attorney associated with each office and the Law firm User Administrator record The Law firm User Administrator is responsible for adding and maintaining all other law firm staff records In e Claims you will use the same screens to both add a new Law firm record and to update the record Access the create update Law firm screens from the Law firm Service menu tab Note the screens will be blank the first time that you access them To add a new Law firm record just type in the appropriate fields If you want to update an existing record select the ID from the Existing Law firm drop down box If you select this option the screen will re display with an Update Law firm instead of Save Law firm 7 4 1 Entering Maint
26. claim if the system determines that it is an unresolved duplicate The second feature of the online system is that all of the occupation codes and industry codes that are valid for your claims have already been set up in e Claims When you use the online POC form these codes will display in drop down boxes The final feature of the online system are the automated Categorization Decision Tree s CDT s The system will guide you through a list of questions When you have finished answering these questions the system will automatically assign a claim category or level along with a value to your claim 3 1 1 Creating the Claimant Record and Checking for Duplicates Use Add Claimant screen from the Claims Tab and the Check Duplicates button to see if the claimant has already been entered into the system The minimum amount of information that must be entered in order to determine if there may be a duplicate record in the system is Claimant Name SSN or international ID and DOB Gender and Country of Residence Note there may not be an SSN for non US claimants For claimants who worked at some point in the US an SSN is required Claimant Information Injured Party Name Gender Lond EE Middle Initia Last Suffix Social Security Number International ID Date of Birth 1m LL Lb IM 3L Formatted Example 123456789 Maximum Length 40 Characters Formatted Example MM DL YTYY Required field Trust i Check Duplicate
27. e You may need to enter multiple history exposure records for this claim If you do enter the first record then click the Add Exposure button to enter the next record You may add as many exposure records as necessary To remove one of these from your claim select the appropriate line and click the Edit Delete button once the information is presented click the delete exposure button Describe employment period during which the injured party was exposed From To Formatted Fxanple MASYYYY Formatted Example MASTTTY Occupation Vicinity Occ Vicinity Type Cancel Save Exposure Delete Exposure Figure 3 10 Exposure Injury Information Action View DCOHAUISQP Save Claim Required field to save claim Requied feld to run COT Figure 3 11 ActionView Save Claim to CDT Claims Resolution Management Corporation page 16 of 51 4 Part IV Categorization Decision Tree s CDT S CDT Selection Please select which CDT you would like to run for this claim 1995 TDP CDT C 2002 TDP CRT Back Continue Figure 4 1 CDT Selection Screen The 1995 CDT may only be utilized for claimants with a diagnosis date prior to September 1 2002 and filed prior to October 15 2003 If you are filing a new claim the 1995 TDP CDT option will be grayed out 4 1 The 1995 Categorization Decision Tree CDT 4 1 1 How to use the 1995 CDT After you select the 1995 TDP CDT the system will presen
28. ent Screen Claims Resolution Management Corporation page 51 of 51 7 7 How to Run Reports The e Claims system includes several pre defined queries and reports 1 Select a report from the report menu A setup screen displays 2 Enter the criteria for the report 3 Select the desired output format and run the report 78 Howto Print Claim Other Documents The e Claims system includes several standard forms and documents that can be downloaded and printed The documents are in PDF format and can be accessed from the Documents tab by double clicking on the desired documents You will need Abode Acrobat to view these documents This is a free product For more information on Abode Acrobat go to www adobe com 7 8 1 Regularly Scheduled Print Jobs The weekly batch print job includes correspondence printed from e Claims records as well as checks printed in the accounting system The correspondence that is printed from e Claims offer and denial letters information about claim status and other letters The correspondence will be printed on specially designed Microsoft Word documents The documents will be printed in the same order in which checks are printed to allow staff to easily collate the e Claims documents with the checks that are produced by the accounting system 7 8 2 What s New Under the documents tab there is a What s New tab As enhancements are made to the e claims application they are posted on this tab for review
29. he Claims Resolution Management Corporation CRMC implemented a new Internet based data entry and collection application called the e Claims system e Claims Claimants and law firms will be able to use e Claims to electronically enter and submit claims to CRMC quickly and safely using the Internet Users will be able to view enter save and print their claims online Strict security will ensure that users can only access claims for their own law firm CRMC staff will be able to use the system for reporting and auditing purposes The main features of e Claims are Online claim form s used to enter standard demographic information about a claimant e Categorization Decision Tree s CDT s used to answer questions that determine the value of the claim Online ability to submit claims as well as accept and reject offers Batch upload of claimant and claim demographic information Online printable reports and documents Ability for CRMC staff to audit claim submissions and payments to ensure accuracy 1 2 How this Manual is Organized CRMC staff and the law firms and claimants who will be using e Claims share many common responsibilities Therefore this manual is designed so that it can be used by all users All users need to know how to access and navigate around e Claims in order to submit claims and monitor claim progress Law Firm and CRMC staff will use online claim status screens reports and email Since e Claims is a secure system al
30. he claimant is deceased you must add Personal Representative Information Representative Information Add Representative Figure 3 3 Personal Representative Information Claims Resolution Management Corporation page 13 of 51 Representative Information Name es Lr ca Pirst Middle inital Last Sufix Country Address Line 1 Address Line 2 City O g Do lil US State State Province Region Zip Code Postal Code Daytime Phone E mail Address Formatted Example 001 202 5555555 Figure 3 4 Personal Representative Information 3 1 3 Claim Information All claims currently on file for this claimant will appear in this section Once this information is complete you may either save the claimant data or add a claim for the claimant Claim Information will appear for each Trust of which a claim has been filed Trust Add New Claim Figure 3 5 Claim Information 3 2 How to Enter Online Claim Information At the top of this page you will see a viewable option Selecting this and saving will allow CRMC to view this information for an e filer prior to submission 3 2 1 Law Firm Information Enter information about the law firm and attorney associated with this claim as well as the law firm contact Select the appropriate person from the drop down box If the person does not exist in the drop down and you are an electronic or hybrid filer the firms administrator will need to add th
31. im Activity Screen Figure 5 13 Claimant Payment Summary Screen Figure 5 14 Claim Detail Figure 5 15 Message Board Screen Figure 5 16 Message Board Detail Screen Figure 5 17 Law firm Inquiry Screen Figure 5 18 Batch Upload Screen Figure 5 19 Add Physician Screen Figure 5 20 Select Physician Screen Figure 5 21 Physician Selection Screen Figure 6 1 Person Entry Update Screen Figure 7 1 CRA Home Screen Figure 7 2 Next QC Screen Figure 7 3 QC SOE Review Screen Figure 7 4 QC CDT Summary Screen Figure 7 5 Law firm Inquiry Tracking Board Screen Figure 7 6 Create Update Law firm Screen Figure 7 7 Law firm Duplicate Search Results Screen Figure 7 8 Add Update Office Screen Figure 7 9 Person Entry Update Screen Figure 7 10 EH HS Status Screen Claims Resolution Management Corporation page 5 of 51 Figure 7 11 EH HS Status Screen Figure 7 12 QC Audit List Screen Figure 7 13 QC Routines Screen Creating a QC Routine Figure 7 14 New Audit Test Screen Figure 7 15 Test Result Screen Figure 7 16 Remove QC Claims Screen Figure 7 17 List of Documents Screen Figure 7 18 Reactivate Claim Screen Figure 7 19 Create Payment Group Screen Figure 7 20 Create Batch Screen Figure 7 21 Create Monthly GL Report Screen Figure 7 22 Reverse Settlement Screen Figure 7 23 What s New in e Claims Screen Claims Resolution Management Corporation page 6 of 51 1 Part I The e Claims System 1 1 Introduction T
32. ity Screen 5 4 6 Payment Summary Claim Detail How to Use the Law firm Message Board How to Check Messages How to View and Print Online Reports How to Request More Information or Get Help How to Submit Batch Records 59 How to Check the Status of Batch Records 5 5 6 How to add new physicians Part IV User Administrator Functions 6 1 How to Create and Edit a User Record Part V CRMC Staff Functions 7 1 CRMC Staff Roles and Responsibilities Claims Resolution Management Corporation page 3 of 51 7 2 The Law firm Relations Analyst Home Page 7 2 1 Get Claim List 72 2 Next Claim 7 2 3 7 3 The Law firm Inquiry Tracking Board 7 3 1 Add New Issue 7 3 2 Display Issue 7 3 3 Assign New Inquiry 7 4 How to Create and Maintain Law firms 7 4 1 Entering Maintaining Law firm Demographic Information 74 2 Entering Maintaining Law firm Location Information 74 3 Entering Maintaining Law firm Staff Information 7 5 How to Create and Maintain Quality Control QC Routines 7 5 1 How to remove a claim from Quality Control 7 5 2 Checking for Documents in the DMS 7 5 3 Deactivating and Reactivating a Claim 7 6 How to Manage Claim Payments 7 6 1 Create a Payment Group 7 6 2 Create a Payment Batch 7 6 3 Creating the Monthly GL Report 7 6 4 Reversing a Settlement 7 7 How to Run Reports 7 8 How to Print Claim Other Documents 7 8 1 Regularly Scheduled Print Jobs 7 8 2 What s New Claims Resolution Management Corporation page 4 of 51 Figure 2 1 The e Claim
33. l users will need to know how to enter their online IDs and passwords to log onto the system System administrators will need to know how to create and maintain users for their location In addition to these common tasks there are many specialized tasks that only CRMC staff will perform These tasks include creating and maintaining law firm records providing help to users through the use of an inquiry tracking board and activity notes maintaining law firm and claim statuses auditing and reporting Each of these functions will be explained in separate parts and chapters The manual will begin with the most common tasks that are used by both the law firms and by CRMC staff It will then discuss more specialized tasks that only system administrators need to manage Finally it will cover the specialized tasks that CRMC employees use to manage law firm and claim information The parts are e Part I Introduction e Part II Accessing and Navigating e Claims e Part III How to Enter and Submit Claims Part IV System Administrator Functions Part V CRMC Staff Functions Appendices if any Claims Resolution Management Corporation page 7 of 51 1 3 Using the Internet to Enter Data For years the only way to send information from one place to another was to hand write it and mail it to its destination Then the fax evolved and we were sending and receiving paper based information over the phone lines Next came email a little speedier and no
34. m the file 11 11 1993 mdcate he has the cancer but neitehr offer a conclusive primary the latter mdscates he had an earker tracheostomy for prior respiratory disease There is no reason not to think that this is a primary lung cancer so I am going to 12 15 1993 ps Figure 5 12 Claim Activity Screen 5 4 6 Payment Summary Use the P link to view all payments for a particular claimant Trust IssueDT S 4 VoidDT Void Reason Figure 5 13 Claimant Payment Summary Screen Claims Resolution Management Corporation page 30 of 51 5 4 7 Claim Detail The claim detail page provides summary type data for a claim Claim Detail Name THOMAS Claim Status Status Settled Pad 02 16 1924 On Hold No 03 27 1989 Orig Received Date 11 28 1988 Received Date 11 28 1988 Law Firm Info Firm Name Firm ID Suspended Attorney Name Phone Number NRM 07 20 1995 Check EFT Number Offer Expiration Date 01 16 1996 Check EFT Date 07 20 1995 Offer Settlement Date 07 31 1995 Reconciliation Date 07 28 1995 Payment Plan TDP rust Payment Percentage 10 00 Figure 5 14 Claim Detail Claims Resolution Management Corporation page 31 of 51 5 5 How to Use the Law firm Message Board The Law firm user administrator may wish to provide access to users to their message board Message Board displays links to information about claims including offers requests for information quality control and other critical issues
35. mp ghts reserved Figure 4 6 How to use 2002 CDT The new History feature in the top right hand corner allows a user to review their CDT answers at any point in time Selecting the Quit option directs you back to the CDT selection screen The 2002 CDT is to be used for all claims where the date of diagnosis is after August 31 2002 It is also used for re filing previously settled 1995 claims that now qualify under the 2002 TDP standards at a higher value If you have pathological evidence for any of the diseases listed on the first page check the appropriate box Otherwise click the next button Once you have answered enough questions to classify the claim the CDT summary page will be presented Claims Resolution Management Corporation 4 2 2 How to Submit a 2002 Claim MN c AC Celis ESSE Management Corporation CAVI Manville Trust CDT 2002 for Sent clan wills Honor CNT recoil Seve results but do not submit claim Qui wit mg ES LE Results Summary Core Exposure 1 G Years of Cxposure 10 12 We there Completed LO form Yes o No 14 Micooc select the agpropnoto ILU torm to complete booed on the ILU you Rave in feet of you 1980 5 o 2000 page 22 of 51 Claims Resolution Management Corporation page 23 of 51 1980 ILO Classification of Pneumoconiosis 1A Date of X Ray 18 mms serrer 06 24 2002 19 Film Quality 3 o wr Yes section 5 1C
36. ne m Ae mt Ye e oa hasta Ma hy ha hs ete Pa epee mA Me mt tm deme ond ntm ant mag Da nae eanet ma anter cem Led cdi d mmi DES Come Pha ment cott made i copas contin Sapara v meritis tn Gnome based vt Mf ven mme Fen bereg o im meteg to e cette b wade Figure 7 4 QC CDT Summary Screen Claims Resolution Management Corporation page 41 of 51 7 3 The Law firm Inquiry Tracking Board The result of a Law firm adding an inquiry is the Law firm Inquiry Tracking Board When a CRMC user views this page an assigned unresolved inquirie will be displayed This page allows both CRA s as well as the CA to manage unresolved Law firm inquiries Customer Inquiry Tracking Board Please enter filter criteria CRMC User Customer User FirtNawe A Lasthawe POC Number Status Type atted xsuple 1234 6M Customer Name Select Customer Total Unresolved Issues 1 Total Unassigned Issues 1 R Tracking Type Customer User CRMC User Date Logged Last Note Date There is no matching Inquiry found Add New Issue Display Issue Assign New Inquiry _Cieer Figure 7 5 Law firm Inquiry Tracking Board Screen This page has three activity buttons Add New Issue Display Issue and Assign New Inquiry 7 3 1 Add New Issue Click the Add New Issue button to display a copy of the Law firm Inquiry form If a CRMC staff member uses the function the Inquiry will
37. nt to do The scenario below offers a general overview of your session tasks Users will first Log In to the system on the e Claims Home Page Once a user has been registered in e Claims the system will display a more personalized home page The type of home page that displays will depend on the type of user logged in and their specific homepage preference The home pages for CRMC staff will depend on what sort of employee functions that the staff have to perform Law firm Relation Analysts CRAs will use the Law firm Relations Analyst Home Page Law firm Administrators CAs will use the Law firm Inquiry Tracking Board screen as their home page Other CRMC staff will use the main e Claims Home Page to begin their work in the system The training manual will examine each of these screens in greater detail in subsequent chapters The remainder of this section will provide more details about how to log on to the system 222 How to Access e Claims Enter the following URL to access the CRMC Home Page http www claimsres com This will bring you to the CRMC Home Page Then use the e Claims link to go to the e Claims Home Page ClamsResolutionManagementCorporation gt Newsletter Documents About Us Figure 2 1 The e Claims Home Page Anyone who accesses the e Claims Home Page can click on the Contact Us link at the top of the page You can use this link to request information or to get assistance from CRMC In addition anyone can downlo
38. number and the payment percentage or they may accept the last offer You may only accept the last offer when that offer was greater than 0 Reactivate Claim Enter the POC of the deactivated Clam Choose one of the following options G Re categonze this claim C Accept Last Offer without options upae Pese Figure 7 18 Reactivate Claim Screen Claims Resolution Management Corporation page 49 of 51 7 6 How to Manage Claim Payments The e Claims system automatically creates payment instructions when an offer is made and whenever any other change to the claim status involves creating vouchers or sending other sorts of accounting instructions All payment instructions are sent to special tables in the system called the ECAP tables CRMC staff can create payment groups and then create batches of payment instructions to be sent to the accounting system 7 6 1 Create a Payment Group From the accounting tab use the Create Payment Group screen to set up a payment group You can test the group criteria before you save it Create Payment Group Please input payment group information Pay Group Name Group Short Name Required fields to create a new group Please choose filter criteria below to get the ECAPs belonging to this group Payment Type sx Claim Type HM EH Flag sj HS Flag sj Eligibility Date From I To RE Fonmptted Exiueple MWDOVYVYYY Fifo Range From To POC Formatted Example 12
39. on in your Display function in your computer s Control Panel The e Claims application was designed to appear correctly in resolutions set at 800x600 and above but realize that the higher your resolution is set the more you can see of the screens and the less scrolling you ll have to perform to move around the pages 1 3 3 Web Security Security measures are often built into online web applications and web sites Such precautions enable e Data integrity protection e User authentication authorization Permission allocation The security built into the e Claims application enables levels of authorization to be assigned to Passwords and User IDs This means that the system can identify which law firm a user is from and what forms and functions they are authorized to access Users will only be able to access claims filed by their law firm 1 4 Assumptions We assume that users know how to use a PC or a Macintosh to enter data We also assume that users know how to access the Internet Please see your supervisor if you need basic training on how to use a computer or the Internet Claims Resolution Management Corporation page 8 of 51 2 Part Il Accessing and Navigating e Claims 2 1 Navigating the e Claims System The e Claims application was designed to be user friendly Its screen designs and menu options follow typical navigation conventions Throughout your session you will use drop down menus and buttons to tell the system what you wa
40. ports Analysts use the main e Claims Home Page as their own personal home page Administrator The Administrator performs system maintenance tasks Administrators use the main e Claims Home Page as their own personal home page 7 2 The Law firm Relations Analyst Home Page The CRA Homepage is the starting point for all CRAs This page allows a CRA to monitor the status of all claims and QC tests that they are responsible for completing The CRA can change the data on the page by selecting one of the filters on the top of the page CRA Home Page Please choose filter criteria from the boxes below page 1 of 1 Claim Status CD Trust Name fi z User Name Melissa Metzfield Required to return result Get Claim List Next Claim Next QC Next Recat 0 Claims 0 QC s 6 RCT s Trust Claim ID Claimant Name Customer Status Date Action View Figure 7 1 CRA Home Page Screen This page has three activity buttons Get Claim List Next Claim and Next QC 7 2 1 Get Claim List The CRA homepage allows for filtering criteria to be entered into the boxes above Once the CRA enters the information they will then select the Get Claim List option which will produce the list of claims Claims Resolution Management Corporation page 38 of 51 7 2 2 Next Claim When a paper filer submits a claim the form will be scanned into the DMS and assigned a Claimant ID They are then added to the next claim 1 Ine Claims
41. rators to setup and maintain users 2 2 7 Reports Reports _ Sustomer Reports Figure 2 8 Reports Menu Tab options This menu tab contains a link to a variety of claim reports that you can view and print from your browser or download to your PC as either a PDF or text file Claims Resolution Management Corporation page 11 of 51 3 Part Ill How to Enter and Submit Claims 3 1 How to Enter Online Claimant Information The e Claims system contains an electronic version of the Proof of Claim form POC There are three major differences between the online form and the paper form The first feature of the online system is a duplicate check that you can use to see if the claimant information you are working with is already in the system Use the Check Duplicates button to see if this claimant is already in the system for your law firm This feature can save you from re entering duplicate data The online form allows you to enter a small amount of data about a claimant and then quickly check to see if there are already records in the system for this individual Once you have finished the duplicate check you can continue to enter the rest of the POC form data and run the CDT if you are an electronic user or stop to check your own records before proceeding If the system does find a duplicate record it will display a warning message and you may be able to continue entering information about this claimant You will not be able to submit a
42. s When entering a SSN or International ID please do not include hyphens or spaces If the claimant was exposed in the U S for any period of time the Social Security number is required You must also select the Trust you will be filing against at this time Claims Resolution Management Corporation page 12 of 51 3 1 2 Claimant Information After you have run the duplicate check enter basic demographic information about the claimant Once you press the check duplicates button you will be prompted to re key several pieces of information Once entered select the continue button Once the information is entered initially it may be changed by either the law firm or CRMC depending on the claim status For an electronic file claimant information may be updated until the CDT has been submitted CRMC must update information to be certain a duplicate claimant does not exist For a hybrid files it may be updated until saved Once saved CRMC will need to update it Claimant Information Injured Party Claimant ID Claimant Name Gender 993247 dummy dummy Male Middle e First butial Last Sufix Social Security Number International ID Date of Birth Date of Death 09 09 1970 Edit Core Info Clear Address ciy 1H D 0 0 1 i US State State Province Region Zip Code Postal Code Daytime Phone D a E mail Address Formatted Example OO 202 5555555 Figure 3 2 Claimant Information If t
43. s Home Page Figure 2 2 The Log On Box Figure 2 3 Claims Menu Tab options Figure 2 4 Claims Service Menu Tab options Figure 2 5 Analysis Menu Tab options Figure 2 6 Accounting Menu Tab options Figure 2 7 User Admin Menu Tab options Figure 2 8 Reports Menu Tab options Figure 3 1 Checking for Duplicate Claimant Add Claim screen Figure 3 2 Claimant Information Figure 3 3 Personal Representative Information Figure 3 4 Personal Respresentative Information Figure 3 5 Claim Information Figure 3 6 Law Firm Attorney Information Figure 3 7 Litigation Information Figure 3 8 Smoking Information Figure 3 9 Exposure Information Figure 3 10 Exposure Injury Information Figure 3 11 Action View Save Claim to CDT Figure 4 1 CDT Selection Screen Figure 4 2 Figure 4 3 CDT Summary screen Figure 4 4 Explanation of Value screen Figure 4 5 Explanation of Category level screen Figure 4 6 How to use 2002 CDT Figure 4 7 How to Submit a 2002 claim Figure 5 1 Offer Status screen Figure 5 2 Delete a Claim Figure 5 3 Withdraw a claim in pre offer status Figure 5 4 Withdraw Claim Screen Figure 5 5 Withdraw claim screen with duplicate entry found nn 25 Figure 5 6 Withdraw a claim in offer post offer status sn 26 Figure 5 7 Claimant Locator Screen Figure 5 8 Claimant Locator Results Screen Figure 5 9 Claimant Listing Screen Figure 5 10 Claim Listing Screen Figure 5 11 Claim History Screen Figure 5 12 Cla
44. signed to your claim You must then indicate if you received the results you were expecting If not then select the CDT Category you had expected You can select from one of the options listed below Select an option and then click the Continue button 1 Submit Claim with these CDT results After submission you will remain on this page and the claim status will be updated once submitted 2 Save results but do not submit claim This option saves the CDT session results but does not update the claim status You may go in at a later time and submit the claim 3 Clear These CDT Results The system will not save the CDT session 4 Re run the CDT The system will not save the CDT session The system will take you back to the beginning of the CDT so that you can start over Once you have selected your option click the Continue button Claims Resolution Management Corporation page 18 of 51 Manville Trust CDT 1995 for GENERAL L COLE Subi clem we leye COT ryvy C Save recul but do net oubend ciam Qui what veg Cato Results Summary 11 17 2006 11 10 36 AM Clam M bt ee ert ays 4 4 2 Cisma Name GENERAL L COLE CueFipirowe 1 6 Yews ef Exposure 33 8 Smoking Ove Due 12 ie there completed ILO form 5 Yes No 14 Is there pathological evdence of interstitial Stross CAL 16 l there pathological evidence of pleural deesse o Tes Ne Figure 4 3 CDT Summ
45. stomer Service Update Retresh Page Figure 5 16 Message Board Details Screen 5 5 1 How to Check Messages Click on a message to read the full description If there is a report associated with the message the system displays a report link Click the link to view a printable copy of this report Some messages refer to claim offers denials or other changes in claim status Depending on the message type there may be links within these pages to take you to the appropriate e Claims page for further action For example a message regarding an Offer will link you to the Offer Status page where you can review accept or reject the offer Check the Read Unread checkbox to indicate that you have read the message If you leave this unchecked the system will retain the message on the Message Board Check the Delete box to have the message removed from the page You may also use the PrintAll feature to print out notices Click the Contact Law firm Service button to access the Add Law firm Inquiry page Click the Update Refresh Page button to have the system record any checks you have made to the Read Unread or Delete checkboxes 5 5 2 How to View and Print Online Reports The Reports menu tab links to a list of reports about claim data offers etc 1 Select the report you wish to print The system displays the appropriate setup screen 2 Enter the criteria to be used for your report 3 In the output format section
46. t a series of questions Sample questions are shown below Manville Trust CDT 1995 for GENERAL L COLE History f Quit Is there a medical report diagnosing a cancer of any of the following types Check al that apply Mesothelioma Lung Cancer M Colorectal Cancer Esophageal Cancer Laryngeal Cancer Pharyngeal Cancer Manville Trust CDT 1995 for GENERAL L COLE Is there a completed ILO form C Yes No Figure 4 2 CDT Pages Claims Resolution Management Corporation page 17 of 51 Note After the first page there are Back and Next buttons on each page You can use the Back button to go back a question at a time to review and change your answers The Next button moves you to the next question As you proceed through the CDT the system will be evaluating your answers in order to determine the category and value to assign to your claim The system will also be using the answers you supply to determine which questions to ask next Depending on the type of disease claimed different sets of questions will be asked Once the system has determined the appropriate category and value it will notify you of the results and prompt you to submit the results or use the Back button to change some of your answers 4 1 2 How to Submit a 1995 Claim When you have finished with the CDT the CDT Summary screen displays Use this screen to review your answers and the category and value that the system as
47. that will be emailed to you The password field is masked so that the User Administrator cannot see your password 2 2 2 Claims Claims Cust Sen 1 9 Claimant Locator Claimant Listing Claim Listing Add Claimant Upload Claims Withdraw Claim Delete Claim Reactivate Claim igure 2 3 Claims Menu Tab options This menu tab contains all claim related options 2 2 3 Claims Service Cust Service Analysis Acc ib Add Inquiry CRA Home Page Inquiry Tracking Board Customer Info Add Customers Add Customer Physicians igure 2 4 Claims Service Menu Tab options This menu tab contains links to a variety of CRMC Law firm Service staff options Only CRMC staff may select from these options Claims Resolution Management Corporation page 10 of 51 2 2 4 Analysis Analysis Accounting E Remove QC Claims Figure 2 5 Analysis Menu Tab options This menu tab contains links to a variety of CRMC QC Analyst options Only CRMC staff may select from these options 2 2 5 Accounting Accounting User Admin reate Manual Payment reate Payment Reconcile Check Stat Reverse Settlement Reset Claim Status Select Batch Print Figure 2 6 Accounting Menu Tab options This menu tab contains a link to pages used by CRMC Accounting Personnel 2 2 6 User Admin User Admin Reports Clf nge Password Maintain User Maintain CRMC User Figure 2 7 User Admin Menu Tab options This menu tab contains a link to pages used by User Administ
48. w button to create a new QC routine The New Audit Test screen will display You can select from a variety of criteria to create the QC test New Audit Test Audit Name Audit Type gt Customer Start Date End Date Sample Percentage fi 00 Formatted Exaupte MWOONYYYY Fomatied ample MAOOVYYY Trust Requaed Fields criteria to creat Category Range Level Range Value Ciam Classification Clam Type F ng Method Claim Filing Penod Formatted Example YYYY Occupation Industry SOE Exposure Ste First Exposure Date After Exposure Penod Formatted Expuple YYYY Foaatied Exauple YYYY Physician ID PFT Facity ID ILO Fest Diagnosis Date a Foaratted Expupie NNIDOVYYY QCFlag CDT User Name x Group ID Figure 7 14 New Audit Test Screen Claims Resolution Management Corporation page 47 of 51 For a post payment audit routine you may test the QC test before you add it click the Test button The Test Result page will display If more than 250 records are returned by the test a warning message will display You can Add or Cancel the QC If you click Add the routine you created will be saved to the database and will display on the QC Test List screen QC Test Verification Test Name Smith OC Test Type Pre Test Date 1 15 2002 1245 03 PM Viewing Record 1 to 20 Records Matching Test Criteria 116611 POC 84 M 96 M 591590 M 591591 M Figure 7 15 Test Result
49. w firm users cannot see These options include the Assigned To and Forward To fields as well as the Notes button that allows you to add an Activity Note associated with this Inquiry CRMC users can also check the Resolved button Law firm Relations Analysts CRA monitor this queue and will contact you within 24 hours of entry If you have the same question on multiple claims please add only one inquiry and discuss that with the CRA at point of contact If you have an urgent request please contact CRMC directly at 1 800 536 2722 CRA s are on staff to assist you from 8 5pm EST Claims Resolution Management Corporation page 34 of 51 5 5 4 How to Submit Batch Records Law firm Law firms have the option of electronically uploading claimant and claim information directly to e Claims Before CRMC will allow a firm to submit information via batch a test batch must first be submitted and approved 5 5 4 1 How to Prepare the Information for the Batch Please refer to Appendix A for instructions on preparing the XML batch upload files How to Upload the Batch to E Claims From the Claims tab Use the Upload Claims screen to upload your batch file to the e Claims system Batch File Upload Enter Filename Browse Note if a button labeled Browse does not appear then your browser does not support File Upload For Internet Explorer 3 02 users a free add on is available from Microsoft Figure 5 18 Batch Upload Screen
50. y S CDT Summary C Run New CDT U Claim Hold Information Q QC CDT Summry O Offer Status P View Payment 5 4 2 The Claimant Listing Screen Use the Claimant Listing screen to see a summary listing of all claims on file for the claimant once the page is presented you must enter at least one piece of claimant information before clicking the List Claimant button You can also use the Action Code list to move to other pages associated with this claim Claimant Listing For page 1 of 4 Last Name SSN Int ID ClamantID Trust dut 122456787 int 1234 Geo DE Manie Persona nE List Claimant ClaimantID Name SSN IntID MARSHALL A SMITH Trust Claim ID Type Date Filed Status Catil Action View MV FIC 117 1989 STTLDPD DECOHAU SQP Figure 5 9 Claimant Listing Screen Claims Resolution Management Corporation page 28 of 51 5 4 3 The Claim Listing Screen Use the Claim Listing screen to see a summary list of all claims on file for a particular law firm once the page is presented you must indicate which claims you would like to see such as all claims at a certain status claims for a particular trust etc If you are a CRMC user you will be able to see all claims for all law firms You can filter the list to show more specific information You can also use the Action Code list to move to other pages associated with this claim Claim Listing For page 1 of 1 Contact Name Trust Status Hold j Ma ersona z j List Claims
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