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QFD supports the ability to include pending authorizations in a claim.  When pending transactions are included in a claim, the system will call the posted transaction service every 6 hours to retrieve new postings.  A decision table is used to evaluate each posted transaction against a set of criteria to determine if it is one of the following.

Multiexcerpt
MultiExcerptNameAuthMatchingResults
  • Exact Match - The system will automatically associate the posted transaction and add it to the claim.
  • Possible Match - An assignment will be generated for a user to review all possible matches and select the match, if present.
  • No Match - The system will continue to check each day for new postings and no additional action is taken.

An SLA deadline is set to 5 business days by default and, when expired, the system no longer checks for posted transactions.  


Note:  If a posted transaction already exists as a dispute on another claim, it will not be considered for auto match, nor will it be available to the user to select during review.

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When it is determined that the authorization did not post, should the system send the Never Posted Deny Letter - Never Posted (When Rule: ShouldSendNotPostedDeniedLetter)

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Confirmation Letter - Authorization Posting

Confirmation Letter

Never Posted Deny Letter - Never Posted


Additional Documentation

Pending Transaction Flow.pdf

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