IntelliComp

IntelliComp

Features & Capabilities

Registration of an Employer

• The Employer will register via the IntelliComp portal.
• The Employer will complete the registration process, including the uploading of all the required documentation and submit to the compensation fund.
• The System will create a dedicated Dashboard for the Employer, this Dashboard can only be seen and utilised by the Employer.
• The dashboard facilitates the following activities:
       • Adding a new User
       • Reporting of Accident Events or Occupational Diseases
       • Uploading of Documentation

Annual Return of Earnings

• The Employer submit the annual return of earnings via IntelliComp.
• IntelliComp will calculate the estimated assessment.
• IntelliComp will submit the ROE's to the relevant COID Administrator utilising the interface.
    • The ROE's will be submitted in accordance with the requirements of:
       • Compensation Fund
       • Federated Employers Mutual
       • Rand Mutual Assurance
• The COID Administrator will recieve the ROE's and finding all in order, will generate a a Statement of Assessment, routing the assessment to the employer for payment.

Reporting of a Claim

• To report a claim the employer will access the dedicated Dashboard.
• Select New Claim.
• Complete the required fields.
• Supporting documents are to be uploaded for onward transmission to the COID Administrator.
    • These will include but not limited to:
       • ID Copy of Employee
       • First Medical Report
       • Proof of Earnings
• The employer will submit the claim directly to the system, which will automatically generate a claim reference number.
• The employer no longer needs to manually fill in the claim form as the system will automatically generate the claim on the required stationery, including signature of the Employer.
• The claim will submit to the COID administrator for review and adjudication
• IntelliComp will update the status of the claim and populate the Claim Number of the COID Administrator.
• The employer will have direct access to a dedicated COID Administrator.

Medical Service Providers

• via the IntelliComp Medical Portal, the MSP will have access to capture medical reports online, the eport will transcribe onto the relevant template of the COID Administrator.
• The Medical Report will submit electronically to the appropriate COID Administrator.
    • All Medical Reports will remain linked to the appropriate claim, regardless whether the employee has several COID claims.
    • The Medical Reports will also be utilised to support TTD claims, PD awards and Medical Invoice Billing.
• Medical Service Providers who have treated COID patients will have access to submit their invoices electronically via IntelliComp.
• On reciept of the invoice, IntelliComp will interrogate the invoice content for compliance in terms of treatment codes, ICD10 codes, Medical Reports and treatment descriptions
    • All invoices which pass the compliance testing will be transmitted to the relevant COID Administrator for payment.
       • Payment information will transmit back to the IntelliComp system and be visible to the MSP / Employer / Employee
       • By Screening the invoices for compliance it will reduce the number of rejections, resulting in less queries addressed to the various COID Administrators.

Benefits of Utilising IntelliComp

• User Friendly System which adheres to the requirements of the COID Act
• No Paper Required - all activities conducted online.
• Access to historical data including return of earnings.
• View all claims reported with supporting documentation.
• Automatic calculation of the Statement of Earnings of the employee.
• Online claiming of Temporary Total or Temporary Partial Disablement.
• Access to reports fo management reporting:
       • Claims Reported
       • Claim Status
       • Medical Expenses
       • All Payments Made Per Claim / Per Period
       • Trends by Date / by Injury / by Department / by Employee
       • Injuries sustained by ICD10 Codes