Tags for Claims (Admin Report)

The document tag values in the table below have been added for the Claims section of the Admin Report and associated to the PDF Process Type of ADMREP CLAIMS:

 

Field Tag

Description

System Value

CLAIMAGE ANAL01

Claims Event

The event category for which the Process is EXIT and the Activity Name is INITIATE and the Activity Status is OPEN and the Start Date is less than the report To Date.

CLAIMAGE ANAL02

0-3 months

The number of Service Requests, per Process, where the number of months from the date the claims were initiated to the date it was finalised, or if it is not finalised, to the report date, is less than 3.

CLAIMAGE ANAL03

3-6 months

The number of Service Requests, per Process, where the number of months from the date the claims were initiated to the date it was finalised, or if it is not finalised, to the report date, is less than 6 and greater than or equal to 6.

CLAIMAGE ANAL04

6-12 months

The number of Service Requests, per Process, where the number of months from the date the claims were initiated to the date it was finalised, or if it is not finalised, to the report date, is less than 12 and greater than or equal to 6.

CLAIMAGE ANAL05

> 12 months

The number of Service Requests, per Process, where the number of months from the date the claims were initiated to the date it was finalised, or if it is not finalised, to the report date, is greater than 12. 

CLAIMS STATS01

Claims paid for the period Event

The Event Category for which the Process is WITHDRAWAL, RETIRAL, DEATH, DISABILITY or PARTIAL WITHDRAWAL and the Activity Name is INITIATE EXIT, PROCESS EXIT, AUTHORISE BENEFIT and the Activity Status is COMPLETED and for which the Timestamp is greater than or equal to the report From Date and less than or equal to the report To Date.

CLAIMS STATS02

Claims paid for the period Number

The number of Service Requests per Process (Event Category) for which the Process is WITHDRAWAL, RETIRAL, DEATH, DISABILITY or PARTIAL WITHDRAWAL and the Activity Name is INITIATE EXIT, PROCESS EXIT, AUTHORISE BENEFIT and the Activity Status is COMPLETED and for which the Timestamp is greater than or equal to the report From Date and less than or equal to the report To Date.

CLAIMS STATS03

Claims paid for the period Amount

The sum of the values for Amount on the Benefit Disposal Instructions per Event Category, that are linked to the Membership Benefit Requests for which a Service Request was found within the report period.

CLAIMS STATS04

Claims paid year to date Event

The Event Category for the Benefit Events that are linked to the Membership Benefit Requests for which a Service Request was found with a Timestamp greater than or equal to the Scheme’s latest Financial Year-End Date and less than or equal to the report To Date.

CLAIMS STATS05

Claims paid year to date Number

The number of values for Amount on the Benefit Disposal Instructions per Event Category, that are linked to the Membership Benefit Requests for which a Service Request was found with a Timestamp greater than or equal to the Scheme’s latest Financial Year-End Date and less than or equal to the report To Date.

CLAIMS STATS06

Claims paid year to date Amount

The sum of the values for Amount on the Benefit Disposal Instructions per Event Category, that are linked to the Membership Benefit Requests for which a Service Request was found with a Timestamp greater than or equal to the Scheme’s latest Financial Year-End Date and less than or equal to the report To Date.

CLAIMS STATS07

Claims paid for the period Desc  

The text description for Claims paid for the period.

CLAIMS STATS08

Claims paid year to date Desc  

The text description for Claims paid year to date.

CLMSINPROCESS01

Claims Event

The Event Category for the Benefit Events for Service Requests for which the Process is EXIT and the Activity Name is INITIATE and the Activity Status is OPEN and the Start Date is less than the report To Date.

CLMSINPROCESS02

Claims received not indexed

The number of Service Requests per Process (Event Category), for a Service Requests for which the Process is EXIT and the Activity Name is INITIATE and the Activity Status is OPEN and the Start Date is less than the report To Date.

CLMSINPROCESS03

Claims in progress at start of period

The number of Service Requests per Process (Event Category), for a Service Requests for which the Process is WITHDRAWAL, RETIRAL, DEATH, DISABILITY or PARTIAL WITHDRAWAL and the Activity Name is INITIATE EXIT, PROCESS EXIT, AUTHORISE BENEFIT and the Activity Status is OPEN and the Start Date is less than the report From Date.

CLMSINPROCESS04

Claims initiated

The number of Service Requests per Process (Event Category), for a Service Requests for which the Process is WITHDRAWAL, RETIRAL, DEATH, DISABILITY or PARTIAL WITHDRAWAL and the Activity Name is INITIATE EXIT, PROCESS EXIT, AUTHORISE BENEFIT and the Activity Status is OPEN or COMPLETED and for which the Start Date is greater than or equal to the report From Date and less than or equal to the report To Date.

CLMSINPROCESS05

Claims cancelled

The number of Service Requests per Process (Event Category), for a Service Requests for which the Process is WITHDRAWAL, RETIRAL, DEATH, DISABILITY or PARTIAL WITHDRAWAL and the Activity Name is INITIATE EXIT, PROCESS EXIT, AUTHORISE BENEFIT and the Activity Status is CANCELLED and for which the Timestamp is greater than or equal to the report From Date and less than or equal to the report To Date.

CLMSINPROCESS06

Claims paid

The number of Service Requests per Process (Event Category), for a Service Requests for which the Process is WITHDRAWAL, RETIRAL, DEATH, DISABILITY or PARTIAL WITHDRAWAL and the Activity Name is INITIATE EXIT, PROCESS EXIT, AUTHORISE BENEFIT and the Activity Status is COMPLETED and for which the Timestamp is greater than or equal to the report From Date and less than or equal to the report To Date.

CLMSNO PERAGE01

Graph - number of claims paid per age band desc

The text description of number of claims paid per age band.

CLMSNO PERAGE02

Y - Number of claims paid per age band number

The Y axis of a Claim per Age Band Bar Chart Graph depicting the Number of Claims on the left hand perpendicular axis.

CLMSNO PERAGE03

X - Number of claims paid per age band period  

The X axis of a Claim per Age Band Bar Chart Graph depicting the Value of Claims on the right hand perpendicular axis and the Age Band on the horizontal axis.

CLMSNO PERMM01

Graph - number of claims paid per month desc

The text description of number of claims paid per month.

CLMSNO PERMM02

Y - Number of claims paid per month number

The Y axis of a Claim per Age Band Bar Chart Graph depicting the Number of Claims paid per month on the left hand perpendicular axis.

CLMSNO PERMM03

X - Number of claims paid per month period

The X axis of a Claim per Age Band Bar Chart Graph depicting the Value of Claims paid per month on the right hand perpendicular axis and the Age Band on the horizontal axis.

CLMSNO PERTP02

Y - Number of claims paid per event type number

The Y axis of a Line Graph depicting the number of Claims paid per event.

CLMSNO PERTP03

X - Number of claims paid per event type period

The X axis of a Line Graph depicting the events for the claims paid.

CLMSVAL PERMM02

Y - Value of claims paid per month value

The Y axis of a Line Graph depicting the number of Claims paid per month.

CLMSVAL PERMM03

X - Value of claims paid per month period

The X axis of a Line Graph depicting the months of the claims paid.

CLMSVAL PERTP01

Graph - value of claims paid per event type desc

The text description of claims paid per event type.

CLMSVAL PERTP02

Y - Value of claims paid per event type value

The Y axis of a Claims per Event Type Bar Graph depicting the Number of Claims on the left hand perpendicular axis.

CLMSVAL PERTP03

X - Value of claims paid per event type period

The X axis of Claims per Event Type Bar Graph depicting the Event Category on the right hand perpendicular axis.

CLMVAL PERAGE01

Graph - value of claims paid per age band desc

The text description of claims paid per age band.

CLMVAL PERAGE02

Y - Value of claims paid per age band value

The Y axis of a Claims Paid per Age Band Bar Chart Graph depicting the number of Claims paid per each of the Age Bands.

CLMVAL PERAGE03

X - Value of claims paid per age band period

The X axis of a Claims Paid per Age Band Bar Chart Graph depicting the Age Band periods.

RNSURANCE REC01

Member number

The Membership No for the Benefit Request of a Membership where the Business Transactions (BT’s) in the COVERREICEIVA account has an Accounting Activity of DEPCOVERREC or DEPCOVREC-A and the Transaction Date is greater than or equal to the report From Date and less than or equal to the report To Date.

RNSURANCE REC02

Name

The Surname and Initials for the Benefit Request of a Membership where the Business Transactions (BT’s) in the COVERREICEIVA account has an Accounting Activity of DEPCOVERREC or DEPCOVREC-A and the Transaction Date is greater than or equal to the report From Date and less than or equal to the report To Date.

RNSURANCE REC03

Date of death

The date of death for the Benefit Request of a Membership where the Business Transactions (BT’s) in the COVERREICEIVA account has an Accounting Activity of DEPCOVERREC or DEPCOVREC-A and the Transaction Date is greater than or equal to the report From Date and less than or equal to the report To Date.

RNSURANCE REC04

Date received

The date received (transaction date on the BT), for the Benefit Request of a Membership where the Business Transactions (BT’s) in the COVERREICEIVA account has an Accounting Activity of DEPCOVERREC or DEPCOVREC-A and the Transaction Date is greater than or equal to the report From Date and less than or equal to the report To Date.

RNSURANCE REC05

Amount

The amount (on the BT), for the Benefit Request of a Membership where the Business Transactions (BT’s) in the COVERREICEIVA account has an Accounting Activity of DEPCOVERREC or DEPCOVREC-A and the Transaction Date is greater than or equal to the report From Date and less than or equal to the report To Date.

UNCLAIMED BEN01

Member number

The Membership No for the Memberships for which the Membership Status is LIVE, PHI or EXIT IN PROCESS, and where the Contribution Due Date is less than the Effective Date minus the value for Unclaimed Benefits (Number of Months) on the Report Format.

UNCLAIMED BEN02

Company number

The Company Reference Numbers for the Memberships for which the Membership Status is LIVE, PHI or EXIT IN PROCESS, and where the Contribution Due Date is less than the Effective Date minus the value for Unclaimed Benefits (Number of Months) on the Report Format.

UNCLAIMED BEN03

Name

The Surname and Initials for the Memberships for which the Membership Status is LIVE, PHI or EXIT IN PROCESS, and where the Contribution Due Date is less than the Effective Date minus the value for Unclaimed Benefits (Number of Months) on the Report Format.

UNCLAIMED BEN04

Date of birth

The Date of Death for the Memberships for which the Membership Status is LIVE, PHI or EXIT IN PROCESS, and where the Contribution Due Date is less than the Effective Date minus the value for Unclaimed Benefits (Number of Months) on the Report Format.

UNCLAIMED BEN05

Membership status

The Membership status for the Memberships for which the Membership Status is LIVE, PHI or EXIT IN PROCESS, and where the Contribution Due Date is less than the Effective Date minus the value for Unclaimed Benefits (Number of Months) on the Report Format.

UNCLAIMED BEN06

Date of last contribution

The Date of the last contribution for the Memberships for which the Membership Status is LIVE, PHI or EXIT IN PROCESS, and where the Contribution Due Date is less than the Effective Date minus the value for Unclaimed Benefits (Number of Months) on the Report Format.

UNCLAIMED BEN07

Benefit amount

The gross benefit amount for the Memberships for which the Membership Status is LIVE, PHI or EXIT IN PROCESS, and where the Contribution Due Date is less than the Effective Date minus the value for Unclaimed Benefits (Number of Months) on the Report Format.