WorkflowWorkers’ Compensation

First Report Intake

First Report of Injury Intake

Every injury report becomes a coded claim the same day, with the state filing clock in view.

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WorkflowDocuments in; a checked, signed result out.
5specialist agents
4kinds of input
Soonfilm in production
The problem

Why it matters

First reports arrive as forms, emails and nurse-line notes; adjusters retype them, chase missing facts and race state deadlines to file the FROI.

What it does

How the solution handles it

Five agents read every first report, check it against the state’s rules and existing claims, code the injury, rank severity and prepare the IAIABC EDI first report. The adjuster reviews the cited claim set-up and approves the filing.

How it works

How an injury report moves

Five specialist agents read, check, code and rank every first report and prepare the state filing; a claims adjuster approves it.

What comes in
Reports in4 channels · employer, nurse line, email, portal
Agents at work
Report readerfacts + sources
Then
Jurisdiction checkerstate rules + clock
Duplicate checkerclaims + policy
Then
Severity triagerlost time · medical
Then
FROI preparerIAIABC EDI
A person decides
Claims adjusterreviews and approves
What comes out
Coded claim file
FROI ready to file
Clock tracked
In and out

What it reads, and what it hands back.

What goes in

  • Employer first report of injury
  • Nurse triage call notes
  • Wage statement
  • First medical visit note

What comes out

  • Claim set up and coded
  • FROI ready to file
  • Severity and reserve flag
  • State clock

Who uses it

CAClaims adjustersITIntake teamsCSClaims supervisorsSRState reporting leads
What it changes

The difference, in numbers.

Every figure is labelled: a target the solution is built to, an estimate, a typical published result, or a proven one.

target
20min
from first report to a coded, checked claim set-up
By hand1–2 days
With agents≈ 20 min
target
2days
to file, against Florida’s 14 days for the carrier to report
Filed by day 2
carrier clock, Florida
estimated
3×
the reports per intake handler, with the same team
TodayWith agents

Source: Fla. Stat. §440.185 (employer 7 days, carrier 14 days) · deadlines vary by state · “Target” = design goal, measured in the live solution · “typical” = published figures · “estimated” = our estimate

Built on the engine

5 specialist agents. One person decides.

Report readerany form, email or call note
Jurisdiction checkerstate rules and filing deadline
Duplicate checkerexisting claims and coverage
Severity triagerlost-time cases first
FROI preparerstate EDI first report, drafted
Claims adjusterreviews and approves the filing

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for your team.

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