Claim Status Report (Insurance Products Automated Claims 3106)

This report displays a list of the volumes of claims in the various statuses for the scheme selected.

 

On the JU4GF Process Benefit Payments screen, select Claim Status Report from the sub-menu on the left. 

 

 

The Claim Status Report screen will be displayed.

 

 

The System will extract data as per the table below:

 

Status

Description

Count

New Claim

Exit Date captured on payroll but no claim information captured.

Count the Benefit Requests for which the Status is NEW CLAIM per Scheme.

Missing Information

Claim information captured but information is incomplete.

Count the Benefit Requests for which there is one or more Claim Details Status records with one of the following values and for which the End Date is null:

NO ID NUMBER

NO BANK DETAILS

NO ADDRESS

NO TAX REF NO

NO PMT DETAILS

NO TAX DETAILS

NO PRIOR CLAIM

Claim Capture Incomplete

Claim information captured but no completed.

Count the Benefit Requests for which there is one or more Claim Details Status records with a value of CLAIM CAPTURE and for which the End Date is null.

Tracing

Claim information captured but member in the process of being traced.

Count the Benefit Requests for which there is a Claim Details Status record with a value of TRACING and for which the End Date is null.

Awaiting Bonus Rate

Realisation process started but required bonus rate not available.

Count the Benefit Requests for which there is a Claim Details Status record with a value of NO BONUS RATE and for which the End Date is null.

Awaiting Unit Price

Realisation process started but required unit price not available.

Count the Benefit Requests for which there is a Claim Details Status record with a value of NO UNIT PRICE and for which the End Date is null.

Awaiting Tax Directive

Tax directive request submitted but tax directive not yet received.

Count the Benefit Requests for which there is a Claim Details Status record with a value of WAITING TAX DIR and for which the End Date is null.

Incomplete Updates

Benefit update types have been processed manually and not yet closed.

Count the Benefit Requests for which there is a Claim Details Status record with a value of OPEN UPDATES and for which the End Date is null.

Awaiting Authorisation

Payment records created and waiting to be authorised.

Count the Benefit Requests for which the Status is PMT CHECKED.