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Detail Claim Database (DCD)
In 1993, the Massachusetts Commissioner of Insurance mandated all companies writing
automobile insurance in Massachusetts to report specific claim data to the AIB in
order create and maintain the DCD. The DCD is a progressive and unique collection
of key information from closed automobile claims on Massachusetts policies since
1994. The DCD provides the industry with a broad array of information and statistics
on injury, treatment, and payment patterns, claim handling activity, as well as
the professional organizations and individuals involved in automobile insurance
claims. Company claims staff and investigators have the experience of the entire
industry available for use when reviewing individual claims, in addition to information
that can quickly highlight patterns of fraud and conspiracies. The Insurance Fraud
Bureau, professional licensing and criminal justice agencies, and the Division of
Insurance use the DCD in monitoring costs and detecting fraudulent practices. The
DCD is unparalleled in its level of detail, accuracy, and overall participation
and it is viewed as a cornerstone in the battle against insurance fraud in Massachusetts.
DCD Reporting Requirements: All companies writing automobile insurance in
Massachusetts must report claim data to the DCD. Claim data must be submitted electronically
to the AIB within 45 days of the end of the month in which the claim was closed.
For details on reporting requirements including required data fields and edit checks,
record specifications, data transmission formats, and all reporting guidelines,
please contact
Edith Wendell.
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DCD Web Application: The AIB offers member company staff web-based access
to query the claim detail and view summarized data in the DCD. Claim detail can
be searched via numerous criteria including claimants, insureds, medical and legal
providers, location, injury, dates, and special claim handling. The DCD also provides
standard and customized summary reports on group and industry claim statistics including
trends on specific providers. For access, please contact your company AIB Access
Administrator or AIBSupport.
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Batch Search Request: Developed for member companies reporting to the DCD,
the BSR is a valuable investigative tool that provides an automated and continuous
search of open claims against DCD closed claims as well as other open claims from
participating companies. Searches from open claims are run in batch from company
data and the results are scored for relevance. Details on the matching closed and
open claims are available daily for incorporation into company claim systems via
secure internet-based file transfers. Currently, the companies benefiting from the
BSR comprise over 70% of the market share for automobile insurance claims in Massachusetts.
The automated query-response and superior data quality of DCD has made the BSR a
simple yet vital component to initial claim processing. For set up information and
transmission specifications, please contact
AIBSupport.
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VIN Search The AIB offers member company staff web-based access to query
Massachusetts statistical data for claims via vehicle identification number (VIN)
including a VIN validity check. For access, please contact your company AIB Access
Administrator or AIBSupport.
Comprehensive training and support are available for these AIB services.
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