Extended System Maintenance: The HCAI System will be unavailable from 2:00 a.m. (EDT) to 10:00 a.m. (EDT) on July 25.
Extended System Maintenance: The HCAI System will be unavailable from 2:00 a.m. (EDT) to 10:00 a.m. (EDT) on July 25.
Health Care Facility | Insurers | Related Initiatives  

Transferring a Claimant to Another Adjuster


When to Transfer a Claimant

When an adjuster is assigned a claimant in HCAI, they will receive any OCF associated with that claimant in their worklist. To ensure that OCFs are adjudicated as soon as possible, it is important that claimants be assigned to an adjuster that is regularly reviewing his or her worklists.

There will be times when a claimant should be reassigned to another adjuster, for example:

  • An adjuster leaves the organization
  • An adjuster is no longer responsible for adjudication on HCAI
  • An adjuster gets transferred to another division and is no longer responsible for their claimants

There are two methods for transferring a claimant: individually or as a batch. Continue reading from the side menu to learn more.

Matching Unmatched OCFs


Transferring Claimants Individually

In some circumstances, it might be faster for you to locate the claimant and update the adjuster assigned to them.
To transfer a claimant to another adjuster, you must have the Form Manager or Claim-Claimant Administrator level of access.

  1. Click on the Claims > Claimants tab. The Claimant search screen will appear.
  2. In the ‘Search for Claimants’ section, enter relevant search criteria. Click ‘Search’.
  3. The screen will refresh and search results will appear.
  4. Click on the Claimant Name, the Claimant Details screen will appear.
  5. In the ‘Claimant Details’ section, select the adjuster you wish to transfer the claimant to. (View screenshot)
  6. Press ‘Save’.
  7. The screen will automatically refresh and a confirmation message will appear.

Matching Unmatched OCFs


Transferring Claimants as a Batch

Add a Provider

Transferring claimants as a batch is the fastest and easiest way to manage claimants when several claimants need to be transferred at once.

To transfer the claimants to other adjusters, you must have the Form Manager or Claim/Claimant Administrator role in HCAI.

  1. Click on the Claims > Claimants sub-tab
  2. Enter search values for “Insurer” and “Branch”. Enter any other search criteria as needed. (View screenshot)
  3. Press ‘Search’; the search results screen will appear.
  4. Check the box next to the claimants you would like to transfer.
  5. At the bottom of the search results list, you will see the “Reassign” drop-down list. Select whether you would like to reassign the claimants to a new Adjuster or to a new Claimant File Owner.

  6. Please note: Reassigning claimants to a new Claimant File Owner should only be done after your insurer has migrated. If you are not sure whether your insurer is migrated, ask your Organization Administrator.

  7. Use the second drop-down box to select the name of the Adjuster or Claimant File Owner to whom the claimants should be reassigned. (View screenshot)
  8. Click the ‘Reassign’ button.
  9. The search results will refresh. Once the claimant transfer has been updated successfully, the new Adjuster or Claimant File Owner name will display on the search results screen.

Transferring a Claimant to Another Adjuster


Jump to:

When to Transfer a Claimant

When an adjuster is assigned a claimant in HCAI, they will receive any OCF associated with that claimant in their worklist. To ensure that OCFs are adjudicated as soon as possible, it is important that claimants be assigned to an adjuster that is regularly reviewing his or her worklists.

There will be times when a claimant should be reassigned to another adjuster, for example:

  • An adjuster leaves the organization
  • An adjuster is no longer responsible for adjudication on HCAI
  • An adjuster gets transferred to another division and is no longer responsible for their claimants

There are two methods for transferring a claimant: individually or as a batch. Continue reading from the side menu to learn more.

Transferring Claimants Individually

In some circumstances, it might be faster for you to locate the claimant and update the adjuster assigned to them.
To transfer a claimant to another adjuster, you must have the Form Manager or Claim-Claimant Administrator level of access.

  1. Click on the Claims > Claimants tab. The Claimant search screen will appear.
  2. In the ‘Search for Claimants’ section, enter relevant search criteria. Click ‘Search’.
  3. The screen will refresh and search results will appear.
  4. Click on the Claimant Name, the Claimant Details screen will appear.
  5. In the ‘Claimant Details’ section, select the adjuster you wish to transfer the claimant to. (View screenshot)
  6. Press ‘Save’.
  7. The screen will automatically refresh and a confirmation message will appear.

Transferring Claimants as a Batch


Transferring claimants as a batch is the fastest and easiest way to manage claimants when several claimants need to be transferred at once.

To transfer the claimants to other adjusters, you must have the Form Manager or Claim/Claimant Administrator role in HCAI.

  1. Click on the Claims > Claimants sub-tab
  2. Enter search values for “Insurer” and “Branch”. Enter any other search criteria as needed. (View screenshot)
  3. Press ‘Search’; the search results screen will appear.
  4. Check the box next to the claimants you would like to transfer.
  5. At the bottom of the search results list, you will see the “Reassign” drop-down list. Select whether you would like to reassign the claimants to a new Adjuster or to a new Claimant File Owner.

  6. Please note: Reassigning claimants to a new Claimant File Owner should only be done after your insurer has migrated. If you are not sure whether your insurer is migrated, ask your Organization Administrator.

  7. Use the second drop-down box to select the name of the Adjuster or Claimant File Owner to whom the claimants should be reassigned. (View screenshot)
  8. Click the ‘Reassign’ button.
  9. The search results will refresh. Once the claimant transfer has been updated successfully, the new Adjuster or Claimant File Owner name will display on the search results screen.
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