The Claim Cycle Applet provides system administrators with the ability to manage claim periods and cut-off dates for effective claims processing. This applet consists of two key system configurations: is designed to streamline and manage claim cycles efficiently within the e-claim module. It offers two key system configurations—Application Settings and Reviewer Setting—which are vital for managing claim periods, cut-off dates, and review levels.
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Efficiency: Ensures claims are processed promptly and within defined periods.
Accuracy: Reduces errors by establishing clear submission and review deadlines.
Compliance: Aligns claims processing with organizational policies.
Example Use Case
Scenario: A company wants to restrict claim cycle creation to only authorized administrators and ensure that each claim is reviewed by a designated reviewer.
The administrator navigates to Application Settings and enables the "Hide Claim Cycle Creation Button" option.
They proceed to Reviewer Setting and assign reviewers with appropriate approval levels for each entity.
When employees submit claims, the claims follow the approval levels defined, ensuring proper review and compliance.
By using these configurations, the organization can optimize its claim management process while maintaining control and oversight.