Review Re-Open Request

Overview

The Review Re-Open Request assignment is generated when a re-open request is submitted by the accountholder, claim intake specialist, or back-office analyst following this action.

For tips and best practices, check out this article.

Process

1. Click the Review Re-Open Request button. 

   Open

   

    

2. Determine if the case should be re-opened by reviewing the responses to the reopen form.

   • Why are you requesting to reopen the case?

   • Are you providing new information?

   • Consider the original denial reason and whether the request should be reopened.
     
     

3. To reopen the claim, select Yes from the Approve Request drop-down.

   • Determine if provisional credit should be issued by answering Yes or No to "Would you like to issue provisional credit?"

   • Click the Apply button.

   • Click the Process Actions button.
     
     

4. To deny the reopen request, select No from the Approve Request drop-down.

   • Select the denial reason from the Reason for Denial drop-down.

     Open

     

   • Review the denial letter to ensure it is accurate.

   • Click the Apply button.

   • Click the Process Actions button. 

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