Today, Workers' Compensation Boards are facing many challenges. Due to inflation,
demand and new treatments, health care costs have increased rapidly. Combined
with these issues are intense pressures to simplify administration, offer value
added services and increase the quality of service offered to injured workers
and health care providers. Paper-based processes used by many Workers' Compensation
Boards are generally time and labor intensive, error prone and not conducive
to data analysis and reporting.
Assure Claims Bill Submission and Payment
Providers enrolled with TELUS Health Solutions can electronically submit bills to a Workers'
Compensation Board and monitor the status of those bills through our health
care provider portal. Bills are adjudicated according to the rules defined
by the Workers' Compensation Board. Once a bill is submitted and adjudicated,
the provider can check the status of the bill claim online, thus reducing the
number of calls back and forth with the Workers' Compensation Boards. We also
offer an exception management feature through our portal for bills that require
manual intervention. Our bill exception module ensures that each bill requiring
manual intervention can be successfully adjudicated. Providers receive payment
within 7 days for bills that are auto-adjudicated. Payment is made electronically
to the provider's bank account.
Plan Management for Vocational Rehabilitation
Our Plan Management solution allows rehabilitation providers and Workers' Compensation
Boards to establish and manage vocational rehabilitation plans for injured workers
who require retraining in order to return to work. We provide tools to share
information and agree on a plan. A "budget versus actuals" capability
allows both providers and payers to view the summary of bills paid against the
plan, allowing both parties to better manage the plan.
Predictive Payment
The predictive payment application allows the compensation board delivery team
to create and manage plans for worker claims that will automatically generate
and submit predictable recurring bills for payment. This functionality greatly
reduces the manual effort usually required to ensure that recurring bills (nursing,
home fees, clothing allowances, independent living allowances) get paid on time.
It also saves the providers the effort of repeatedly billing recurring weekly
or monthly charges.
Our Solution Adapts to Your Needs
We understand that you have specific processes and standards that you use in
the processing of claims. We adapt our solutions to meet your specific needs
and requirements,providing better work outcomes, reduced administrative costs, reduced health care costs and increased workflow efficiencies.
Customer Testimonials
LifeMark Health Physiotherapy User-friendly
and efficient 
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valuable tool
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