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Business user information

Suggest edit Updated on April 26, 2021

You can configure the system to control the editable fields on the Claims screens. Once the configuration is done, the Claims examiner can click on Actions > Adjustment or Update Claim data to correct or adjust the fields, on the selected claim.

The Claims examiner (or other configured role) would see the editable or not editable fields (for e.g. Billed Amount) based on the configuration.

Adjustment: If a user wants to manage the fields presented to the claims examiner (or any other role) for Adjustments, the ClaimManualEditsConfiguration Decision table would need to be configured. If the field is present in the Editable Properties, then the appropriate role would be able to edit it.

Updating the Claim Data: If a user wants to manage the fields presented to the claims examiner for correction (Option: update claim data), the ClaimManualEditsConfigurationClaimUpdate Decision table would need to be configured.

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