ROES Software Products
ROES- WorkComp.NET Software that: Imports, collects, edits, and transfers workers
compensation data in the IAIABC Release I, II III and XML formats for FROI and SROI. Supports
ANSI ASC X12 Medical Bills and Florida proprietary Medical Bill formats. Our EDI solutions reduce or eliminate
manual or redundant processes and can reduce or eliminate potential state fines for EDI non-compliance.
ROES software offerings consist of: data entry, total integration or solutions somewhere in between.
WorkComp.NET Data Entry: allows on-line Internet based data entry reporting of FROI, SROI and Medical Bills.
Features include:
- Claim and Medical Bill reporting from any PC with access to the internet
- User friendly screens for quick and accurate reporting
- Identifies Mandatory, Conditional and Optional fields and edits accordingly
- Lookup functions for common recurring information such as Employer, Insurer, TPA, SIC Codes, etc.
- Drop down tables for fields such as SIC Codes, Part of Body Codes, Cause of Injury Codes and Nature of Injury Codes
- Provides the most extensive on-line edits for the IAIABC
- State Specific and additional WCN edits to ensure quality Data is transmitted to the states
- Displays edit errors so user can click and fix on-line before reports can be transmitted to the states
- Provides email notification of state acknowledgements
- Provides extensive management reporting capabilities
- Claim reports can be printed in the IAIABC IA-1 and IA-2 formats
- Provides State specific FROI print capabilities for Non-EDI States
- Optional sequencing edits that automatically hold and send claim reports in correct sequence unless user manually overrides
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WorkComp.NET Integration Options: offers software integration with clients’ existing applications to retrieve,
convert and transmit claim data to the states. Trading partners receive the FROI, SROI and Medical Bill data in the required IAIABC formats.
Features include: Integration Options provide the same features as Data Entry plus:
- ASP Model with Partial or Full Integration
- Interfaces with existing claims applications using the IAIABC
standards or the ROES XML standard without changing your system
- BES Package can be imbedded into your claims system for
seamless integration
- Data is imported into WCN for transmission to the states without
re-keying
- Edits incoming data using IAIABC, State and WCN edits
- Import Errors and Acknowledgements (ACKs) and can be sent
via a data file for integration and error correction in your Claims Management System
- Exports the state Acknowledgement for integration with claims
system
- Provides for multiple automated processing
Medical Functionality:
- ASP Model with Partial or Full Integration
- Currently imports the ROES proprietary format which includes all fields for all supported states in a single format
- Exports Florida Proprietary or IAIABC ANSI ASC X12 837
- Acknowledgements:
- Receives Florida proprietary Acknowledgement and
- ANSI ASC X12 824 and 997
- Mandatory/Conditional Edits, GUI, plus many of the other Claims features above
Security
Competitively Priced 
Advantages/Benefits to using ROES
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