Features

• WCPOLS
  • With the Workers Compensation Policy Reporting (WCPOLS) module you can report written policies, endorsements and cancellations to either a bureau or directly to a state.
  • Multiple Carrier / State file generation supported
  • Adheres to NCCI and Independent state bureau electronic specifications by state
• WCSTAT
  • Adheres to NCCI and Independent state bureau electronic specifications by state
  • Production Staging support (Filing Month / Due Next Month / Due in 2 Months)
  • Reports are sorted by client code, then segmented into three temporal periods: filing month, due next month, due in two months
  • Submission File trial run offers a preview before Final submission
  • First Unit, Subsequent and Correction filings supported
• WCROI
  • The Workers Compensation Report of Injury (WCROI) module supports the automated compilation and filing of mandated Workers Compensation First Report of Injury and Subsequent Report of Injury.
  • Claim Monitoring tool
  • Data Import capability
  • Perform Trial Run before final submission / acknowledgement to verify data
  • Electronic file generated for bureau submission
• CMS Section 111 (Non-Group)
  • The AGO Medicare Mandatory Reporting System (MMRS) module provides automated compliance with mandatory reporting on Medicare beneficiaries. Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (‘MMSEA Section 111’) added mandatory reporting requirements for Medicare beneficiaries who receive settlements, judgments, awards or other payments from liability insurance (including self-insurance), no-fault insurance, or worker’s compensation. The AGO MMRS complies with all requirements as detailed in MMSEA Section 111.
  • Allows definition of multiple Responsible Reporting Entities for generated submission files.
  • Submits a list of all claims added since the previous filing to verify if claimants qualify for Medicare/Medicaid Services.
  • Generate submission files for applicable claims from AGO’s Claims Tracking System on the Web (CTWeb) or a customized routine will import from any 3rd party claims system for MMRS processing.
• PSSTAT
  • Mandatory statistical reporting for leading bureaus: ISO / MSO / AAIS / URB / NCRF

Additional Information

• Bureau Reporting Product Sheet

Description

AGO’s Bureau Reporting Systems are comprehensive mandatory reporting components in the integrated suite of AGO’s core processing system. Designed to seamlessly leverage AGO or third-party repositories. With a user-friendly, push-button interface, meeting regulatory requirements is straightforward and efficient. For Workers Compensation reporting modules, all independent bureaus and NCCI are support. Additional support is available for FROI/SROI and CMS Mandatory Reporting (Section 111 Non-Group). 

Benefits

• Real time seamless interface with Policy and Claims
• System security is maintained at User role and Function assignment level
• Files generated in electronic format eliminating the need for manual tracking.
• Adheres to all specific rating bureau, Independent Bureau and NCCI requirements
• AGO Hosting option