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Kristafanie Somers

Kristafanie Somers

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Overview

Account holders can request to have their denied dispute re-investigated by calling in and working with an intake user or submitting the request through their self-service portal if enabled. Explain the reopen criteria as dictated by internal guidelines, if any. Consider if users need to notate any work relating to reopening the case including denying the reopen request. 

Reference page for users


How-To

Use the example claim you've prepared for the walkthrough. 

Step 1: Click the Review Re-Open Request button.

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Step 2: Determine if the case should be re-opened by reviewing the responses to the reopen form

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Step 3A: To reopen the claim, select Yes from the Approve Request drop-down

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Determine if provisional credit should be issued by answering Yes or No to "Would you like to issue provisional credit?"

Defer to internal best practices.


Step 3B: To deny the reopen request, select No from the Approve Request drop-down.

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  • Select the denial reason from the Reason for Denial drop-down

  • Enter Deny Comments is required (asterisk)
  • Attach any documents if needed
  • Select the Deny Justification if needed



Step 4: Click the Apply button

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Step 5: Click the Process Actions button

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Other Actions

There are no additional actions available to users on this assignment.