Generic Claim Resolution

Overview

Generic Claim Resolution represents a Claim Resolution stated by a Claim Resolution Committee.

 

Navigation

Admin ► Support Entities ► Generic Dispute ► Generic Claim Resolution

 

Generic Claim Resolution screen Fields and Tabs

Field

Description

ID

Field represents unique generic claim resolution id.

Workflow StatusIt shows the workflow status of the Generic Claim Resolution. By default, it shows created. It changes the workflow status as per approval.

Generic Claim

Field represents the Claim associated to this Claim Resolution.

Resolution Type

Upon acceptance or rejection of the Claim, the Claim Responsible Users must enter a Claim Resolution Type in order to typify the Resolution. Look up functionality is needed filtering by the Claim Result.

Decision

The decision made by the Claim resolution committee regarding the Claim originally submitted

Justification

Field represents the note related brief justification of the decision

Resolution Document

This is a hard copy of the Document Claim Resolution signed by all members of the Claim Resolution Committee.

Attachment Tab

Collection of 0 to more files that are considered relevant to support the Claim Resolution.

Claim Additional Information Tab

If the committee considers that some of the information provided by the vendor as part of the claim needs to be clarified or more specific, the Claim Responsible Users may contact the Vendor in order to gather more information about the claim.

Claim Resolution Committee Member Tab

All the employees that are part of the claim resolution committee.

 

Attachment

Overview

Attachment tab allows attaching one or more files that are considered relevant to support the Claim Resolution.

 

Attachment Tab screen Fields

Field

Description

ID

Field represents the unique code of Attachment.

Attachment ClassificationIt allows to select the attachment type from the drop-down list.

Title

Field represents the Title of the attachment.

Description

Field represents the Description of the attachment.

Attachment

Field allows users to attach the file.

Date time

Field represents the Date and Time of the document uploaded.

DateIt allows the user to select the date for the attachment from the date picker.

User

Field represents the users who is assigned this task.

 

Claim Additional Information

Overview

If the committee considers that some of the information provided by the vendor as part of the claim needs to be clarified or more specific, the Claim Responsible Users may contact the Vendor in order to gather more information about the claim.

 

Claim Additional Information Tab screen Fields and Tab

Field

Description

ID

Field represents the claim additional information ID.

Status

The basic stages are ‘Waiting for Response’ and ‘Response Submitted’. The default value is ‘Waiting for Response’.

Required Information Date

The date when the information requirement was notified to the vendor.

Vendor Response Date

Date when the vendor submitted the response.

Request Communication Method

This is the communication method used for requesting the additional information to the vendor, the communication method may differ from the communication method used to submit the Claim.

Response Communication Method

This is the vendor’s response communication method used.

Vendor Response

Response given by the vendor.

Additional Information

Any additional information is noted here.

Attachment Tab

Collection of 0 to more files that are considered relevant to support the Claim Resolution.

 

Attachment

Overview

Attachment tab allows attaching one or more files that are considered relevant to support the Claim Resolution.

 

Attachment Tab screen Fields

Field

Description

ID

Field represents the unique code of Attachment.

Language

Country specific language used to register the title.

Title

Field represents the Title of the attachment.

Description

Field represents the Description of the attachment.

Attachment

Field allows users to attach the file.

Date time

Field represents the Date and Time of the document uploaded.

User

Field represents the users who are assigned this task.

 

Claim Resolution Committee Member

Overview

Assign employees who are part of the claim resolution committee.

 

Claim Resolution Committee Member Tab screen Fields

Field

Description

Committee Member

Look up functionality required, if users entering the Claim Resolution exists in Committee Member with Committee type ='Claim Resolution; the system must suggest this as the first Claim Resolution Member. System takes into account only Committee Members that are Committee type = 'Claim Resolution'

Is Responsible

This is the Claim Resolution Member who is responsible to communicate with the vendor to gather further information if it is needed and lead the claim process to a success resolution.