Activity	Traditional Method	ePIP Component	Component Description
First Notice of Loss entry	Existing legacy system entry	FNOL Entry Module	Series of browser-based interfaces where claims handlers enter all case details, including accident facts, vehicle information and insured data.
Adhering to appropriate claims processing procedures	Employee training, reference manuals, manual "To Do" lists	Task Administrator	Automatically generates and organizes tasks as defined by organization and sorts them by priority.
Appropriate assignment of claim tasks	Case by case manual review by Claims Division Manager to assess what needs to be done and who needs to do it.	Workflow Management Module	Automatically allocates tasks to appropriate individuals and/or vendors, based on company-defined workflow design. Can allocate tasks from same claim to multiple handlers in different locations.
Routing of bills and support documents within the organization and to third-party vendors.	Print, seal and mail. E-mail.	Bill Router	Knowledge-based routing function that automatically transfers medical bills to the appropriate stages of the claims process. X12-837 conversion capabilities enable automatic and seamless transfer of bill to third parties.
Tracking and generation of business performance and reports	Paper audits	Data Cleansing Module	Creates meaningful data fields in ePIP's relational database that users can query to generate production reports.
Identifying bills suitable for immediate payment with limited review	Manual process: list of rules remembered or referenced by handler and applied to bill	Auto Pay Module	Automatically authorizes and generates checks based on company-defined rules.
Maintaining appropriate claim and correspondence documentation	Paper-based records organized into accordion folders and stored in house	ElectronicClaim File	Stores and organizes all critical claim information, including payment summaries, mail correspondence, case notes and contact information for insured, providers and attorneys.
Calculation of payments	Manual calculation using Excel, requiring claim handler attention to specific plan rules and limits	Bill Editor	Displays bill, benefits and payment information. Automatically calculates payment and issues check based on electronic audit of available benefit limits, deductibles, co-pays, opt-outs etc.
Limiting of overpayments	Detailed line-by-line review of current bill by the claim handler to check for double charging. Limited ability for review of previously submitted bills	Duplicate Detective	Automatically searches ePIP database for entire history of bills submitted under insured and notifies claims handler of any duplicate procedures billed on the same date of service. Also provides a user interface to efficiently review all relevant case information.
Generation of correspondence documentation	Manual selection of documents based on correspondence situation	Forms Wizard	Automatically generates appropriate Benefits Package, EOR and Investigation letters according to the specific insured and status of the claim
Check generation and account balancing	Draft typist and manual ledger entries	Check Generator	Supports the Bill Editor in the automatic printing of checks, Explanation of Review and balancing of financial ledgers within the existing accounting system.
Up to date customer claim status information	Phone contact with a claim handler	My ePIP	AInterfaces with ePIP to provide all current claim and benefit information in an HTML page on the insurance carrier's Web site.