Here store the data for each entities’ finance cut-off date.
Users can modify the cut-off date for different aspects and for each entity here.
The system administrator is responsible for configuring the Claim Cut-Off Logic settings.
To modify the Cut-Off Date:
Click into one of the entities.
Select your preferred date or number of days.
Click on ‘UPDATE’.
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The Claim Cut-Off Logic configuration ensures that each entity’s finance and approval deadlines are clearly defined. This setting helps streamline the claim process by preventing late submissions and ensuring timely approval and processing.
Overview of Claim Cut-Off Logic
This configuration allows system administrators to define:
Finance Cut-Off Dates: The deadline for financial teams to process claims.
Approval Cut-Off Dates: The last day for claim approvers to review and approve claims.
Extended Cut-Off: Additional days allowed for claims put on hold.
By setting these parameters, organizations can:
Improve accountability.
Avoid processing delays.
Maintain consistency across entities.
Importance of Claim Cut-Off Logic Configuration
Efficiency: Ensures timely processing of claims by defining clear deadlines.
Accountability: Holds employees and approvers responsible for meeting submission and review deadlines.
Compliance: Aligns the claim process with organizational policies.
Example Use Case
Scenario: Entity X processes claims monthly, with a finance cut-off on the 30th, approval cut-off on the 28th, and a 2-day extension for on-hold claims.
An employee submits a claim on the 27th.
The approver has until the 28th to review and approve the claim.
If the claim is placed on hold for additional documentation, the employee has until the 2nd of the following month to resolve the issue.
The finance team processes all approved claims by the 30th.
Key Features
1. Finance Cut-Off
Purpose: Defines the deadline for financial processing of claims.
Options:
Last Day of the Month: Automatically sets the cut-off to the final calendar day.
Specific Day of the Month: Allows administrators to select a fixed date (e.g., the 15th).
Example: For Entity A, claims must be submitted by the 25th of each month to be processed in the same cycle.
2. Approval Cut-Off
Purpose: Establishes the deadline for claim approvers to review submissions.
Options:
Specific Day of the Month: Allows administrators to set a date.
Number of Days Before Finance Cut-Off: Sets a relative deadline based on the finance cut-off date.
Example: Approval deadlines are set two days before the finance cut-off to ensure timely processing.
3. Extended Cut-Off
Purpose: Provides additional time for claims that are put on hold.
Field:
Number of Days for On-Hold Extension: Determines how many extra days are allowed.
Example: A claim held for clarification can be processed up to 3 days after the original cut-off.
This configuration ensures that claims are handled efficiently while accommodating minor delays.
The next section will focus on Claim Approval Settings, detailing how approval workflows are defined and managed in the e-Claim module.