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The Centralized Performance System (CPS). Indemnity Module Insurer View. CPS Logon Page. Forgot Your Password? Use the link at the bottom of the screen. Click here. CPS Organizational Chart. CPS Overview.
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The Centralized Performance System (CPS) Indemnity Module Insurer View
Forgot Your Password?Use the link at the bottom of the screen Click here
CPS Overview • Performance information is detailed and summarized in CPS on a monthly basis. • A batch is the sum of all of an insurers DWC-1s submitted and processed by the Division in a calendar month.
Detail Page View • Click on the SSN hyperlink to access the individual DWC-1 claim’s data pop-up screen for that claim.
DWC-1 Pop-up This screen contains data from the DWC-1 and specificclaim and penalty information.
Toggling Between TPAs Use the drop down box at top right of the screen.
View All ScreenThis screen allows viewing of all DWC-1s submitted in a batch. You can download this information into either an excel or CSV format.
The Workbench “To Do” List… The “To Do” list shows batch penalties for insurer and employer. An insurer will only have access to their penalties.
Notes Overview View Notes from the Workbench or Summary Pages Add Notesonly from the Workbench Notes may include attachments All notes are PERMANENT!
Two Different Levels of Notes… CPS Indemnity Note Types: • Batch Notes: Apply to the batch as a whole. They can be added at any time and viewed by all. • Detail (Penalty) Notes: Apply to a specific penalty, filing or payment. They can be viewed by the Division only after the batch has been submitted. Again: • All notes may include attachments. • All notes are PERMANENT!
Allowed Attachments Include: • htm • html • pdf • txt • doc • xls • tif • tiff • rtf
Viewing Batch Level Notes Batch Documents Notes can be viewed from the Summary tab or the Workbench tab.
Notes Notes can only be added under the workbench tab.
Adding Penalty Notes • Each time a filing penalty is disputed a note must be added to explain the reason for the dispute. • ALL payment penalty statuses (Concur or Dispute) must be accompanied by a note. • Batches cannot be submitted to the Division until each penalty that is disputed has a note.
Enter Penalty Detail Notes for Timely Filing and Timely Payment
Typeinnotetext. Click “Browse” to add and attachment then click save. Enter Notes in the Timely Filing Penalty Document Notes Area
Saved attachment Chose a Note Type. Typeinnotetext. Click “Browse” to add an attachment then click save. Enter Notes in the Timely Payment Penalty Document Notes Area
Insurer Statuses – Timely Filing and Timely Payment Penalties • Dispute: The Insurer Specialist has reviewed a penalty’s DWC-1 claim information and does not agree that a penalty should have been assessed. • Concur: The Insurer Specialist has reviewed a penalty’s DWC-1 claim information and agrees that the penalty is valid.
Addressing Multiple Timely Filing Claims with “Concur” Insurer Status
Addressing Individual Timely Filing Claims Click on the “New” hyperlink under the “Insurer Status” to access a specific claim
(1) Select “Insurer Status” (2) Select a notetype (3) Type in Note text. (4)Click Browse to add attachment (5) Remember to click “Save” Addressing a Specific Timely Filing Claim
Timely Payment Penalties… • Timely Payment penalties can only be evaluated one at a time. • All Timely Payment penalties are evaluated from the Timely Payment Work Area, which is accessible via the Workbench Penalty Details Page.
Addressing Individual Timely Payment Claims Click on the “New” hyperlink under the “Insurer Status” to access a specific claim
Insurer Statuses – Timely Payment Penalties • Dispute: The Insurer has reviewed a DWC-1 claim penalty and does not agree that a penalty should have been assessed. • Concur: The Insurer has reviewed a DWC-1 claim and agrees that the penalty is valid, and must submit proof of payment to the Division through CPS.
(1) Select “Insurer Status” (2) Type in Note text. (3)Click Browse to add attachment (4) Remember to click “Save” Addressing a Specific Timely Payment Claim
Batch Submission • Before submitting a batch all penalties must have an Insurer Status of Concur or Dispute. • A note must be added to each filing penalty with an Insurer Status of Dispute. • A note must be added to ALL payment penalties as well as proof of paymentor documentation to support a dispute.
Completed Not completed Performing a Final Check… The CPS “To Do” List displays the number of penalties (filing and payment) that still need to be addressed before submission.
How to perform a final check… • All penalties that have not been addressed will have a status of New. • The system WILL NOT indicate which penalties do not have notes on them. (HINT: Add Notes when the penalty status is assigned to avoid confusion later.)
“Y” means both penalties (filing and payment) are ready for submission. Submission of a Completed Batch • Click on the batch to be submitted. • Check to see that both Timely Filing and timely Payment Penalties are “Complete”. • Click on “Submit”.
Remove this item from my workbench… • Use this feature if after processing a batch you wish to cancel all changes made during the processing of the batch and send it back to the place from which it came (literally!). • This is the only method by which Notes can be deleted but does so at the cost of eliminating all work performed in the batch as well.
Submit • After clicking the “Batch Selection” button, clicking the “Submit” button will initiate the system’s review of the batch. • If any penalties have not been addressed or if any disputed filing penalties do not have a Note the system will prompt the user. • Batches that pass the Final Check are submitted to the Division for evaluation.
If the batch is not complete… And after you have clicked the “submit” button… “N” indicates batch needs to be addressed before submission.
If submission is successful: • The batch is no longer on the Insurer’s workbench. • The batch is viewable on the Insurer’s summary pages. • The batch has been moved to the workbench of a Specialist at the Division of Workers’ Compensation. • Specialists are dedicated to working the batches of specific Insurers.
And then? • The Specialist assigned to the submitted batch will process within 15 business days. • The Specialist will review all disputed penalties and the notes/attachments associated with them. • The Specialist will determine if any of the disputes are acceptable according to current law, Administrative Rules and the policies of the Division of Workers’ Compensation.
Finally… • The Specialist will recalculate the batch if any disputed penalties were accepted. • The batch will be returned to the Insurer’s workbench reflecting the new penalty amount. • The Insurer can choose to pay in full or pay in part. • Special note: If an insurer has Timely Filing penalties in excess of $10,000, the penalty will be recalculated so that each untimely filing occurence above $10,000 will be assessed a penalty of $25.
