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QFD performs general accounting operations required for claims processing. The system can be integrated with most real-time accounting service interfaces or support batch accounting file generation and delivery. When no services are available, these operations are performed manually. This section provides an overview of the core accounting components.
- Accounting Execution
- Accounting Rules
- Accounting Collections
- Accounting Tool
- Optional Accounting Configurations
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When a real-time accounting service integration is available the system will perform the accounting adjustments by calling the integation integration and passing the necessary information to perform the adjustment in the system of record. This assignment does not require any user interaction and will be executed in accordance with the predefined SLA.
Assignment: Pending Accounting Service
Batch File Accounting
If a real-time accounting service is not available, the system can be configured to perform batch accounting. When this is enabled, a file is generated at configurable intervals and includes all the information that is necessary for the downstream system or user to complete the required adjustments. Batch accounting is typically configured to execute once per day but can happen more frequently. This assignment does not require any user interaction and will be executed in accordance with the predefined agent SLA which is visible on the assignment.
Assignment: Pending Batch Accounting
Work Queue: PendingAccountingService
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When batch accounting is configured, additional options are available in the Administration Portal.
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Assignment: Execute AccountingWorkbasket: ExecuteAccounting