Kudos: CA State Fund Virtual Assistant

Kudos: CA State Fund Virtual Assistant

If the workers’ comp system is ever truly fixed, it will start with technology that makes billing and payment less of an administrative nightmare.

That’s why daisyBill exists — and why we’re so impressed by the Virtual Assistant at California’s State Compensation Insurance Fund (SCIF).

SCIF’s automated technology lets providers and their staff check the status of a bill without waiting for a representative, saving countless hours on hold. Provider staff can use the Assistant to get claims information, make medical bill inquiries, get the fax number to submit Requests for Authorization (RFAs), and more.

In an industry characterized by inefficiency and dysfunction, SCIF demonstrates that it’s possible to make things actually work well. Kudos.

The End of Waiting on Hold?

Any practice employee who’s been forced to investigate an unpaid bill knows how much time and effort is wasted chasing payment up and down a dysfunctional phone tree — only to come away with little more than strong opinions on the claims administrators’ choice of hold music.

For providers billing SCIF at least, those days are over.

In the course of investigating a recent electronic billing failure in which e-bills for SCIF were erroneously rejected as “duplicates,” daisyBill representatives discovered firsthand how seamlessly SCIF’s Virtual Assistant manages inquiries.

As shown below, clicking the orange chat icon on the SCIF website’s Medical Provider page opens the Virtual Assistant.

The Assistant functions much like a standard customer service chatbot, but one that’s been cleverly programmed with workers’ comp-specific parameters and tied into the data in SCIF’s system.

The need for a human agent has been reduced to almost zero, thanks to the fluency of automation.

The result is that a provider can find whatever they need to know in a minute or less — without languishing on hold until they finally break down screaming “REPRESENTATIVE!” into the void.  

Game recognizes game. As daisyBill strives to streamline the billing and revenue management aspect of workers’ comp, SCIF is making things work much more smoothly on the payer end.

Make no mistake: SCIF’s efforts ultimately help injured workers by making the fraught choice to treat injured workers much more manageable for providers.


daisyBill makes treating injured workers easier, faster, and less costly. Get a free demonstration below.

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3 Reader Comments
CHRIS V.

It truly is the best! I use a lot of portals & virtual assistants, SCIF's is by far the easiest & most reliable of them all.

Published 01:59PM February 27, 2024
Mary

Thank you for recognizing the efforts of State Fund. We do strive to do what's right.

Published 01:59PM February 27, 2024
Mark N.

Sure do wish that every carrier would adopt a similar system, would save a lot of wear and tear on the nerves.

Published 01:59PM February 27, 2024
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