Send for Tracing (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