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Threshold configurations

Suggest edit Updated on April 26, 2021

Threshold configurations for reporting and overrides. The threshold configurations detail the maximum number of claims an examiner can resolve when grouped and if it is greater, the role required to override that capability. If the number of claims is greater than the threshold, a mass reprocess task will be automatically created to manage the reprocessing. The threshold reporting defines the minimum number of grouped claims that will cause an event group report to be generated. This report may indicate that a system, data, or configuration issue is impacting claim processing. The report, shown below, will contain a list of all the claims that have been grouped together along with other key data and will be available in the configured work queue for review. This is an optional configuration.

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