SAFE / SANE Exam Claim Workflow
First-class workflow for Sexual Assault Forensic Examination claims — anonymous victims, facility direct-billing, evidence-kit tracking, and an optional bridge to full compensation.
Key benefits
- · Dedicated claim type with exam date, facility, SANE nurse name, evidence kit number, exam type
- · Anonymous victim support via pseudonymous identifier
- · Facility / hospital direct billing — victim bears no billing burden
- · Eligibility without crime reporting (reflects federal/state SANE policy)
- · Optional bridge to a full VcClaim if the survivor later chooses
Why this deserves a first-class workflow
Sexual Assault Forensic Examinations (SANE / SAFE) exist to preserve evidence and provide medical care — whether or not the victim chooses to report to law enforcement or to file a full compensation claim. Most competitor platforms either force these through the generic reimbursement flow (losing specialized handling) or bolt them on as a separate system. VCPMS treats SAFE claims as first-class because they need specialized fields, specialized access control, and specialized eligibility rules.
Specialized fields
- Exam date, facility, SANE nurse name
- Evidence kit number
- Exam type (SANE, SAFE, SAFEPlus)
- CPT codes + medications + line-item billing
- Configurable fee schedule per tenant (e.g., $1,500 exam max, $100 medication max, STI/pregnancy testing covered)
- 120-hour exam window tracking
- 1-year filing deadline (default, configurable)
Anonymous victim support
The victim can be tracked by a pseudonymous identifier — the facility submits, the program pays, and the victim is never required to identify themselves. If the survivor later chooses to file a full compensation claim, the SAFE record can be linked to a VcClaim via a victim-controlled bridge.
Facility direct-billing
The service provider (hospital, exam facility) submits the claim and is paid directly. The victim sees no bill. This is trauma-informed by default.
Eligibility without crime reporting
SAFE exams are compensable without a police report, reflecting federal and state policy. The workflow enforces this correctly — no broken eligibility rule because the generic claim engine required LE reporting.
Payment target
Default 21-day processing target. Access controls are tightened on SAFE claims beyond the standard claim-access model, protecting highly sensitive PII.