The workers' compensation module integrated with SIMS™ is capable of handling the nuances of each state. In addition to the SIMS Claims™ core functionality, the workers' compensation module manages:
Special handling at the insured level;
Three point contact;
Lost time; and,
SIMS Claims™ also supports several workers' comp specific interfaces, such as EDI reporting through ISO and Mitchell MRRS for all jurisdictions, medical bill review interface, pharmacy interface, etc.
In addition, SIMS Claims™ supports the following features specific to managing claims in California:
Direct EDI FROI/SROI reporting for California;
Support of CA waiting period;
CA SIP report; and,
4850 benefit management.