Adjuster Support
Learn more about the form adjuster's role in HCAI, including adjudicating OCFs and tools for managing deadlines.
About this section
We’ve organized this section as a learning module to guide you on the form adjuster’s role in HCAI. We’ll cover the basics like reviewing a form in HCAI and how to mark a decision but we’ll also get in-depth about topics like partial approvals, handy tools to help keep track of submissions and decisions, and how you can make your processes more efficient in HCAI.
Who should review this module
You’ll find this module helpful if you are involved with:
Adjudicating OCFs in HCAI
Receiving and paying invoices
This module can also help clarify system functionality if you are:
A manager or supervisor interested in learning more about form adjusters and their role in HCAI
Involved with setting up or managing feeds and extracts through our integration channels
What you’ll learn
Tools that will help you keep track of submissions and decisions
An overview of the forms available in HCAI
How to enter
- Adjuster Dashboard
An overview of the adjuster level dashboard
- Claims Tools
Learn about the Documents tab and other tools to help you keep track of submissions and decisions
- Form Overview
Learn more about the forms available in HCAI
- Service Provider Licensing
Learn about FSRA’s Service Provider Licensing program and how it relates to HCAI
- Entering a Response/Decision
How to apply decisions on each of the OCFs in HCAI
- Updating your Response/Decision
How to update your decision or response on an OCF
- Insurer User Manual
For when you want a more detailed explanation of HCAI’s functionality