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The Alyce Claims Management System

Alyce is designed for TPAs, Insurance Carriers and Agencies.  It has a very intuitive design, with pages laid out in a logical fashion, which makes it easier for adjusters to get their jobs done faster and more efficiently.

Below are the System Features, System Requirements, and Customer Comments.  Please contact us if you have any questions.

System Features:
  • Multi-tiered infrastructure meets your clients' reporting requirements, based on corporate entities and locations.
  • Duplicate claim alerts
  • Detailed on-page instructions
  • Check printing and payment controls
    • Automated scheduled and repeating payments
    • Immediately reissue voided and stopped checks
    • User level financial security set by coverage and transaction type
    • Transfer payments between claims
    • Check printing uses preprinted or blank-check stock
    • Coverage level deductibles
  • Diaries and Notes
    • Yellow sticky notes
    • Automatic diaries based on events, time and/or financials
    • Diary alerts
    • Urgent diaries
  • State Regulatory Forms
    • Auto-prefill and on-form editing of state forms
    • Email completed forms*
  • Letters
    • Automatic generation of form letters to claimants, lawyers or other claim parties
    • Prefills letter with custom claim data
    • Template editor
  • Return To Work segment tracking (for WC)
  • Litigation case tracking
  • Imaging
    • Attach images, sounds and movies to a claim
    • Export images into a single file for IME's
    • Integrates with MS Outlook to attach emails and other types of documents
    • Allows for remote/off-site users
  • Reports with paperless distribution
    • Month-end Reports
      • Executive overview reports
      • Loss runs
      • Adjuster activity reports
      • Comprehensive financial history
      • Automatic report generation
      • Export via PDF and other formats
    • Instant Claim-level Reports
      • Financial summary or details with reserve history
      • Diaries
      • Notes
      • Claim status reports
      • One-Page claim report
  • Lines of Business
    • Workers' Compensation
    • Auto Liability
  • Medical Bill Review and Repricing
    • Instantly reduce medical bills on the claim file
    • Comprehensive Rules engine follows state fee schedule rates and rules and PPO rates
    • Simple Interface allows quick data entry
    • Easy EOB report generation collated with check run or on demand
    • Integrated QA process
    • Configuration of bill and line charges, including state fees to attach directly into claim financials
    • Ingenix fee schedule data
  • Web Claim - Internet Claim Entry
    • Easy claim / incident reporting over the web in a secure environment
    • Authorization module for claim acceptance or denial
    • Automatic state form generation
    • Automatically generate diaries
  • Data Warehouse / Data Mart
    • Detailed data structures allow for point-in-time reporting, including Loss Triangle generation
    • Web reporting distribution system with HTML and PDF report generation
    • Monthly, quarterly and annual reporting available
    • System reports give inception-to-date and monthly totals to balance reports
    • Bulk generation of HTML and PDF reports
    • User security and data integrity is inherited from production claim system
* requires Adobe Acrobat Standard 7 or higher for emailing completed forms.

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System Requirements:
  • Alyce client/workstation machines require Microsoft Internet Explorer 6 or 7 (on Windows 2000, XP, or Vista).
  • The optional Imaging module integrates with MS Outlook XP or Outlook 2003 (Outlook 2007 is being analyzed).
  • The optional Forms module requires Adobe Reader 7 or higher (or a PDF browser that handles XFDF) on the workstations.   Adobe Professional 7 or higher is needed to create custom forms.   Adobe Standard 7 is required for emailing completed forms.
  • Workstation processor should meet Microsoft's minimum configuration for IE and the OS.
  • For conventional installations (non-hosted) server configurations are dependant on the number of users, their workloads and optional modules installed.  A rule of thumb for every 25 users is 1 Xeon dual core processor with 4Gb of RAM and 5Gb of disk space.

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Customer Comments:

"We found we only needed very limited training, because Alyce is very user-friendly and self-explanatory."
- Kellieann Austin
Cool Risk Management Services

"Some of our users insist on having their diaries come up when Alyce first opens; others prefer to work by prioritizing specific claims first. Thanks to the ease with which Alyce can be customized, our users have been able to find work flows that suit them individually."
- Kyle Fish
Vice President/IT Manager
The PRM Companies

"Before we went to Alyce, I easily spent a couple of hours a day fixing little things. I spend no time at all now with Alyce and the extra time that I have now is put to streamlining our reports."
Joe Pellegrino
Systems Specialist
COOL Risk Management Services

"The fact that Alyce is browser based has saved me hours! Our previous claims management system was a Windows-based application that constantly used up system resources and forced users to restart their computers. It also required me to install the application every time we replaced or reformatted a computer. Running within Internet Explorer, Alyce requires NO installation on client machines. Beautiful!"
- Kyle Fish
Vice President/IT Manager
The PRM Companies




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