Send for Tracing (Insurance Products Pending Claims)

If the run date is equal to the last working day of the month, the system will read the existing Benefit Request records with a Claim Request Type of PENDING CLAIMS and for which the Request Status is IN PROGRESS and the value for Sub-Type on the Claim Details record linked to the Benefit Request is 2ND CLAIM FORM or FOLLOW-UP CLAIM and the Timestamp month on the Claim Details record is earlier than the current month less 6 months, then the Sub-Type on the Claim Details record will be updated to TRACING.

 

A Service Request will be created with the following values:

 

FIELD

VALUE

Scheme Code

Scheme Code for the Benefit Request records found

Process

PENDING CLAIMS

Activity

SEND CLAIM DETAILS TO TRACING AGENT

Start Date

Current Date