Version 2.1 - Updated September 10th, 2004

Updates - September 10th. Roadmap for conversion to new release was added.

Version 8.0 is a challenging update to Intelec that will contain some complex database changes as well as significant changes in functionality. The changes are extensive. While we had initially considered omitting any significant database changes, we have realized that this will only increase the work we have to do in the very near future. Therefore we will do some of the major database changes in this update. Some of the changes are very complex and will not be available in the initial version of the update. The deployment of the new version will be in multiple phases. Quantrax has recently made a decision to deliver enhancements on a quarterly basis. Our target delivering the initial version of Version 8.0 is September 2004 (3Q 2004). In the first phase we will deliver all the database changes and several functional changes. Additional function changes will be delivered in the quarterly updates. If you have not already done so, please take a few minutes to review Quantrax's dialer platform. This product is now integrated with Intelec (Version 7.2).

Within the last 12 months, we identified and defined several areas of Intelec that could be enhanced. Some changes have already been incorporated in Version 7.2 while others will become a part of Version 8.0. We have also indicated the planned delivery date for each feature. Please send any comments to ranjan@quantrax.com.

Account management


System changes


Working accounts

Payment-related options

Real-time Inquiries

Quantrax is committed to expanding the management and user inquiry options that will be available through Intelec. In general, our designs will use the assumption that only recent information is of real value. We would therefore use information for the past 30 days as being the most relevant. There are reports that are currently produced daily  that could potentially be replaced by on-line inquiries (e.g. Payments by collector). The option to produce these reports interactively will be a great help. As always, it will be desirable to stop specific users from accessing these reports. 

Collector Management

Smart Codes


Client information


Reports

Web-based features

During our user meeting we presented several web-based features that could be of practical use to our clients. Unfortunately, these would not come under the area of base-system changes and would be separate, billable modules. There was a great deal of interest and Quantrax is proceeding with the development of some interesting, web-based features.

We have identified the following as application areas within our web-based modules. We expect to have these features code-ready by 4Q 2004.

We presented some of these concepts and warned our users that there would be a cost associated with these features. In addition to the basic software that has been described above, we have the challenge of incorporating the functionality into your website. This is also a significant challenge. Quantrax is considering the possibility of offering you this consulting – This will mean that we can do most of the technical work necessary to incorporate any web-based features into your system and workflow.



Changes that affect medical collections


We will be making several fields to the database, that will in turn allow us to add new functionality. Following is the final list of the ideas that we received from the "Healthcare user's group". The following items were presented by the user group, in order of priority.

1. Better Database manipulation capabilities.
2. Easier methods of importing and exporting data into and out of the system.
3. Insurance sequence # - new field to track priority of this insurance plan (primary, secondary, tertiary) so that if the insurance is re-sequenced you don't have to move all of the data. Will assist in prioritizing which insurance is due.
4. Add cell phone number for guarantor.
5. Secondary Employer information - name, address, employer phone/ext, employee work phone/extension
6. We would like a field for the account age at placement.
7. Insurance Company - expand to 30 char
8. Effective date and expiration date for each insurance.
9. Additional insurance phone number (often there is one for eligibility and another for claim status)
10. Insurance Fax number
11. Insurance E-mail Address
12. Insurance Web Site URL
13. Insurance Contact name/ phone number / extension
14. Track procedure codes used to post each payment the data, just change the sequence #.
15. All names should be broken down into first, last, MI with 15 characters for both first and last name.
16. Payer type (HMO, PPO, COMM, Liability, etc)
17. Insured name - break down to last first middle initial
18. Insured DOB
19. Insured Address
20. Insured phone number
21. Insured relation to patient
22. Initial Bill Date
23. Status Date
24. Status Type (examples denied, appealed)
25. Status Code - would store denial codes
26. Total adjustments prior to placements (currently total paid and adjusted in alpha field)
27. Total payments prior to placement
28. Placement histories that can be run by financial class, service type, and by patient type with a balance range.
29. Aged Trial Balance reports.
30. Internal Medicare follow-up with all the basic information required to do follow-up claims on-line.
31. Insurance master change report.
32. Tracking abilities for new business and how much inventory was paid/adjusted/closed for each collector.
33. Tracking of incoming new business and inventory amounts paid/adjusted/closed by collector. Possibly an average inventory for each worker/owner daily for the current month and monthly for historical reference.
34. A few user defined 10-15 character alpha fields with merge code capability.
35. A few user defined 10-15 character numeric fields with merge code capability.
36. Insurance plan code - internal unique identifier length 20
37. Provider unique identifier - HIPAA will require all insurance plans to have a standard unique identifier. Don't have any clue what the length will be.
38. Total adjustments since placement (function key to view from pmt history)
39. Total payments since placement (function key to view from pmt history)
40. Recovery percentage per collector for specified dates.
41. Delinquent payers by client tracking as well as aging by payer.
42. Fax number for guarantor
43. All phone numbers should support international phone numbers
44. All addresses should support international addresses.
45. City, St, and Zip should always be stored separately.
46. All addresses should provide extra address line
47. All amounts associated with an account should support $999,999,999.99
48. Collector profile set-up need modification, possibly a 10 character description and an extended field along with the creation of a new field for team name.
49. Allow up to 4 authorizations with the following information:

· Date of authorization
· Authorization number - Alpha length 20
· Authorization type - (examples Retrocertification, recertification, precertification, authorization)
· Authorized length of stay
· Contact name
· Contact phone number

50. Prorated Amount - total amount estimated to be the insurance's liability
51. Amount placed
52. Current balance
53. Allow for up to 10 description codes for each insurance record. Smart code logic should then let you reference insurance description codes. For example if insurance record 1 has a description code of SP then ….
54. Smart codes for primary balances, secondary balances or the sum of all.
55. A set of fields to store deductible, co-pay & non-covered amounts.
56. Allow for multiple addresses for the guarantor

o Address priority - determines sequence in which addresses should be used
o Address type - alpha length 12 (i.e. temporary, permanent, confidential)
o Street 1 (30 char)
o Street 2 (30 char)
o City (20 char)
o State/Province
o Zip (10 char)
o Country (20 char)
o Return/Stop Mail Indicator
o Expiration Date (track when a temporary address expires)

57. Smart code summaries and better historical information on use of smart codes.
58. Audit trails to allow tracking of movement of accounts through Intellect as it moves from worker to worker, indicating changes that are made and last date that the worker code changed.
59. Ability to track financial class at the payer level and report payments received by the financial class of the payer.
60. Call tracking capabilities.
61. Identity of various Insurance carriers that are available on-line.
62. Assignment of responsible payer in the system.
63. Thresholds placed on accounts based on the age of the account thus presenting it for follow-up if it exceeds the allotted time frame. Reporting capabilities on the percentage of accounts in a queue exceeding the threshold.
64. Identification of accounts that have been set up with promises to pay would help forecast collections and aid in goal setting.
65. Balance tracking capabilities for individual insurances regardless of balance type.
66. A need to track payments by actual payer, financial class of the payer or financial class on the payment.
67. Ability to track an account by owner/collector.
68. Analysis by user as opposed to owner.



Navigating the system

Intelec is a vast system. It is important that a user can determine what is available and where it is. There is a great deal of functionality within Intelec and we must now step back and help our users to better “navigate” the system. What happens when you want to reopen a purged account? Where do you go? What if you have never done this and need to know how to do it? What if you need a report that prints recovery percentage by month of placement? What do we have and what option is it?                  

Manuals are not the answer! We will provide an intelligent, on-line “System Map” that will allow any user to get to the option they need, very quickly. We will also need to tie the options to the authority that a user has for accessing the different areas of the system. The vision is to have several major classifications (e.g. Payments, reports, account entry etc.) and then allow a user to move down through sub-classifications until they get to the option that is required. At that time, we could transfer the user to the appropriate menu. (Starting 4Q 2004)


Support

We will be using the internet to deliver support when it is practical.

What do our clients have to do to prepare for these changes?

The major files such as the account, note and payment history will be expanded. We are estimating that to have a net impact of about a 10% increase in the size of these files. There will be additional disk utilization and it is recommended that you check your status. It is recommended that you always run at less than 70% of disk utilization. Disk is not expensive and we feel that a small investment on your part is not an unreasonable request.

Based on the today’s cost of hardware and the state-of-the-art technology we offer, we are suggesting that you should strive to have sufficient disk so that your disk utilization is less than 55% with Intelec Release 7.1. (You can check the present value of disk utilization by keying in “WS” at any menu, and looking for “System storage used” or “% system ASP used”)

Some of the real-time, interactive inquiries will take processor capacity. Most of today’s systems are capable of handling complex processing, but you may need to consider memory if you use the new functionality and response is slower than expected for some of the new options. Again, we are not talking about significant costs. Unlike in he past, with the increased pace of our development, you are well advised to stay up-to-date with IBM software (current or no more than 2 releases, preferably 1, prior to the currently supported version of the IBM operating system), and to try to upgrade your processor at least every 24 months.

If you have had any programming that has been done by any party other that Quantrax, we will not be responsible for supporting or advising you on how those changes need to be migrated to the new version. It is very likely that every program that has been done will need to be carefully reviewed for compatibility. Quantrax will not be responsible for documenting the database changes made. We will provide documentation on what we feel are the key changes. With regard to custom programs that were developed by Quantrax, these will me modified at no cost to you as per our standard procedure.


© Quantrax Corporation, Inc. Please sent comments to ranjan@quantrax.com