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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 |
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Accounting assignments are generated when the rules described in Accounting Rules are executed. The type of assignment that is generated depends on the integrations that are configured. The assignments are displayed in the Accounting step of the Case Rollup. There are three common configurations.
Accounting Services
When a real-time accounting service integration is available the system will perform the accounting adjustments by calling the integation 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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User Accounting
When no real-time or batch accounting service is configured, accounting becomes a manual assignment to be completed by a user. The assignment will include the necessary details to complete the accounting operation in an external system.
Assignment: Execute Accounting
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by a user. Specific accounting rules can be configured for each transaction type and adjustment type to ensure all accountholder and GL to GL accounting needs are supported. Additionally, QFD performs account balancing to ensure that all require accounting is performed on-time. |
| Stage | Execute |
| Node | Accounting |
The account node houses assignments that involve manual accounting tasks, typically completed using an external system.
This section provides an overview of the core accounting components.