Page 23 - C.Journal 4th edition

Claims Journal 4th Edition Claims Journal 4th Edition

Technical Corner If Statement was completed

1. Showing provider name
Prompt Payment Process 2. Period
3. Company name

4. All calculations are correct.
Prepared by Suha Almenee

If Statement have issue
1. Not Showing provider name
2. Wrong Period
3. Not showing Company name
4. Calculations mistake
5. Statement not matching with covering letter

We hold the payment due to :
- If the statement have issue, update CM under category (Non-compliance general
summary statement) with kind of issue and the payment will be hold until the issue
solved.
- If the statement showing high or low amount compered to previous amounts, in-
Physical Batches: form the PR and wait their confirmation

1) Mailing Room : Receive batches from shippers and record - Fraud cases or Hold as per relation
2) Claims: Forward to CCU.
3) Statement : with receive from forward to payment team. Prompt Payment

Create a Batches:
To create the batches we use Caesar , Microsoft Excel.
In Caesar

Fill the figures based on the Statement
1. Showing complete figures ( Gross, Discount, Deductible and Net)
2. If the Statement only showing Net amount, for Discount and Deductible we put
0 and the net will be the present amount
Then will amended by recon after reconcile the batch .
In Excel
Help to make sure the statement calculation and showing all providers note :
* Hold
* Deduction
* Payment agreement
* Claims type

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