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Approval Level

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StageAnalyze
NodeDecision Approval
AssignmentApproval Level


The Approval Level assignment is is generated when a claim is written off, denied, or granted provisional credit and the claim or dispute is above the threshold limits set in a client’s configuration. When the configuration is enabled, a decision that requires approval is suspended until the approval assignment is worked by a manager.



How to complete the Approval Level assignment for Write Off Approval

  1. Click the Write Off Approval button.

     Click here to see the expanded assignment...

  2. Review the Write Off Explanation.

  3. Determine which action should be taken by making a selection under the Decision drop-down:
    • Approve - This option approves the write off, which will kick off the lettering and Accounting adjustments.
    • Deny - This option denies the write off, which will move the claim back into the assignment flow. The assignment will not route back to the original user.
      • Comments will need to be added for why the write off is being denied.

  4. Click the Apply button.

  5. Click the Process Actions button.


How to complete the Approval Level assignment for Deny Approval

  1. Click the Deny Approval button.

     Click here to see the expanded assignment...

  2. Review the Reason for Denial.

  3. Determine which action should be taken by making a selection under the Decision drop-down:
    • Approve - This option approves the denial, which will kick off the lettering and Accounting adjustments.
    • Deny - This option denies the denial, which will move the claim back into the assignment flow. The assignment will not route back to the original user.
      • A Deny Approval Denied Reason will need to be selected from the drop-down.
      • Comments will need to be added.

  4. Click the Apply button.

  5. Click the Process Actions button.


How to complete the Approval Level assignment for Provisional Credit Approval

  1. Click the Provisional Credit Approval button.

     Click here to see the expanded assignment...

  2. Review the details provided.

  3. Determine which action should be taken by making a selection under the Decision drop-down:
    • Approve - This option approves the provisional credit, which will kick off the lettering and Accounting adjustments.
    • Deny - This option denies the provisional credit, which will move the claim back into the assignment flow. The assignment will not route back to the original user.
      • Comments will need to be added.

  4. Click the Apply button.

  5. Click the Process Actions button.


Details of the approval assignment outcome can be found in the Decision Approvals node under the Completed Actions section. 

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The dispute-level audit reflects approval decisions.

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In the event of a decision denial, the Alerts alarm bell will present a notification. 

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