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QFD automatically associates fees with claims and refunds any fees that were caused by disputed transactions.  Various options are available for configuring which fees QFD should refund.

StageAnalyze
NodeFees
Assignment(s)Review Fee, External Fee Review

The fees step houses assignments that involve reviewing and matching fees within QFD or using an external system.

Configuration

Service

If a service is defined to retrieve information about what fees should be refunded, that service is called and the fees are marked accordingly.  

Standard

When no service is configured, fee settings are evaluated to determine when a fee should be considered for refund.

One of the following actions will occur, based on the settings defined:

  • Refund: The Refund Fee flow is executed for any fees that meet the criteria for the "Refund" action.
  • Manual Review:  The Review Fee assignment is generated for any fees that meet the criteria for "Manual Review".

External Maintenance

When fee maintenance is not managed by QFD, an External Fee Review assignment is generated to prompt a user to complete the process outside of the system.  This is a legacy configuration that is no longer supported.

Manual Entry

When fee transactions are not available to QFD, a Manual Fee Entry assignment is generated to prompt a user to enter details about any fees that need to be refunded. 

Review Fee in Completed Actions

When a fee review has been completed the details are stored in the Completed Action section.


Workflow

The following workflow illustrates how fees are handled based on the configuration above.


Rule(s)FeeReview, ReviewFee



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