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Data Analytics & Reporting

Learn about the data reporting options that are available to insurers who use HCAI.

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There are several options for insurers who wish to run reports and analyze their HCAI data.

Reports in HCAI

An overview of the Reports subtab

The Reports subtab under the Manage tab in HCAI offers canned reports that can be generated and downloaded by users with the appropriate role.

Users with the “Report Viewer” role will have access to most of the Reports functionality in HCAI. However, certain reports can be accessed with the Executive Report Viewer role or the Audit Report Viewer role only.

The available reports offer information on claimants, outstanding, submitted, and adjudicated OCFs, a monthly financial statement, and more. Certain reports are also available to help administrative users audit and review user activities.

Complete details about each report available in HCAI can be reviewed in the Insurer User Manual Chapter 14: Insurer Reports available on IBC’s secure member site.

Other reporting tools available in HCAI

HCAI also offers a number of tools that make it easy to keep track of submissions and past decisions, available to users with other roles. Complete details and instructions for accessing the following functionality are available on the Claims Tools page.

  • Claimant Summary Report: The Claimant Summary report is a decision-support tool that summarizes data (such as injuries, goods and services, costs and duration of treatment) collected from adjudicated forms that have been matched to an unarchived claimant. Cost and count totals are drawn from adjudicated Form 1s, OCF-18s, OCF-23s, OCF-21Bs and OCF-21Cs. It does not contain data from archived OCFs. This report is available to all adjusters and users with the Report Viewer role.

  • Claimant Financial Summary: The Claimant Financial Summary provides a summary of the amounts proposed and approved for a particular claimant. To view the report, you will need the Form Manager, Form Adjuster, Claim-Claimant Editor, or Claim-Claimant Administrator role in HCAI. The report is found on the Claimants Search Results screen.

  • Document Search: The Search tab in HCAI allows users to run robust searches for documents that meet specified criteria. Users can search for a custom combination of specific document types, statuses, dates, using provider or facility information, and more. Users with the Document Search Results role can also download the search results in .CSV format to analyse the high-level information outside of HCAI.

HCAI Integration

HCAI integration is an optional service that allows your organization to pull data from HCAI (via extracts) or put data into HCAI (via feeds). To learn more about HCAI Integration, review the HCAI Integration page.

HCAI-BISS

If the reports available in HCAI do not provide the information you are seeking, your company may wish to consider the Business Intelligence Strategic Solution (BISS) product, available to participating auto insurers that use the HCAI system, for an additional cost.

BISS is a web-based reporting tool that provides the ability to view standard reports as well as generate self-serve custom reports based on your own requirements. BISS data is refreshed weekly.

If your company is interested in learning more about BISS, please contact BissSupport@hcaiinfo.ca for more information.