TCM1000411 - How to reject a claim due to a verification failure

Version 1.0

Changes to previous version - new guidance.

Step 1

If you only have to reject the claim, go to Step 2.

If you have to reject the claim and inhibit the award notice, go to Step 3.

Step 2

On the 鈥楳aintain Worklist鈥� screen

  • select 鈥楩ile鈥� on the toolbar
  • select 鈥楴ext Function鈥�. You鈥檒l be taken to the 鈥榃ork Management - Select Next Function鈥� screen
  • select 鈥楳anage Verification鈥�. You鈥檒l be taken to the 鈥楳anage Verification Failures鈥� screen
  • select 鈥楴avigate鈥� on the toolbar
  • select 鈥楻eject Application鈥�. You鈥檒l be taken to the 鈥楻eject Application鈥� screen
  • select the reason for rejection from the options available

Note: In a joint claim, you鈥檒l select the appropriate rejection reason for each customer.

  • select 鈥楢dd鈥�
  • select 鈥極K鈥�. You鈥檒l be presented with the question 鈥楢re you sure you want to reject this application?鈥�
  • select 鈥榊es鈥�, you鈥檝e rejected the claim.

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Step 3

On the 鈥楳aintain Worklist鈥� screen

  • select 鈥楩ile鈥� on the toolbar
  • select 鈥楴ext Function鈥�. You鈥檒l be taken to the 鈥榃ork Management - Select Next Function鈥� screen
  • select 鈥楳anage Verification鈥�. You鈥檒l be taken to the 鈥楳anage Verification Failures鈥� screen
  • select 鈥楴avigate鈥� on the toolbar
  • select 鈥楻eject Application鈥�. You鈥檒l be taken to the 鈥楻eject Application鈥� screen
  • select 鈥業nhibit Rejection Notice鈥�

Note: You won鈥檛 now be able to add a Reason for Rejection.

  • select 鈥極K鈥�. You鈥檒l be presented with the question 鈥楢re you sure you want to reject this application?鈥�
  • select 鈥榊es鈥�, you鈥檝e rejected the claim and inhibited the award notice.