Potential Claim Abuse Report

Type

Report

Name

Potential Claim Abuse

Description

A report is available in the Business Intelligence library that provides a list of claims that meet the criteria for potential claim abuse along with meaningful attributes for analysis.

Usage

Potential Claim Abuse Volume, Print Metrics

Included Fields

Client, Claim Type, Claim Category, Claim Reason, Regulatory Coverage, Claim Channel, Card Type, BIN, Claim ID, Claim Status, Claim Amount, Discovery Date, Create Date, Contact Date, Investigation Date, Resolved Date, Decision, PC Decision, PC Date, Dispute Count, Dispute Amount, Employee Claim Flag, Reclassification Flag, Potential Abuse Flag, Created By

Included Filters

Client, Claim Type, Claim Category, Regulatory Coverage, Card Type, Claim Status Summary, Create Date, Resolved Date

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