Differences

This shows you the differences between two versions of the page.

--- oem_claim_denied [2016/07/13 14:32]
192.168.98.168
+++ oem_claim_denied [2019/01/05 22:10] (current)
@@ Line 1: / Line 1: @@
-====== Claim OEM Denied ======
+====== Claim Manufacturer Denied ======
-The manufacturer has denied the consumers claim form. You as the provincial administrator will need to review and make a final decision.
+The manufacturer has denied the consumers claim form.
+You as the provincial administrator will need to review and make a final decision.
   * Select the **claim number** or the **Claim OEM Denied** button
 **NOTE:** They show slightly different things, but give you the same functionality.
 {{::claim_oem_denied_button.png|}}
 ===== Select Claim Number =====
 Here you will be able to view the claim form, documents and reason for denial.
 ===== Select Claim OEM Denied Button =====
-Here you will see a summary of the problem(s) and document(s) available.
+Here you will see a __summary__ of the problem(s), document(s) and communication available, along with the reason for denial.
-====== Actions ======
+===== Actions =====
-You will notice you still have the [[Reassign Arbitrator|Reassign Arbitrator]] button. You now have a new one, which is [[Request Technical Inspection|Request Technical Inspection]].
+You will notice you still have the [[Reassign Arbitrator]] button and you now have a new one, which is [[Request Technical Inspection]].
-====== Statuses ======
+===== Statuses =====
 There are a number of options for handling the denial, select the appropriate one.
-{{:pa_approved_ineligible_info_required.png|}}
-  * **[[Worksheet Approved|Worksheet Approved]]:** All the necessary information is available and the worksheet is ready to collect **[[Claim Form Requested|claim form]]** from the consumer.
+{{::change_status_claim_oem_denied.png|}}
-  * **[[Worksheet Consumer Input Required| Worksheet Consumer Input Required]]:** The worksheet requires additional information from the consumer.
+  * [[Eligibility Hearing Required]]: The manufacturer does not believe the claim is eligible, but the PA believes the consumer meets the CAMVAP eligibility requirements and schedules an eligibility hearing.
-  * **[[Closed Claim Ineligible|Closed Claim Ineligible]]:** Based upon the review of the information provided the claim is considered ineligible and will be closed.
+      * A [[Letters|manual letter]] should be sent to consumer, manufacturer and arbitrator outlining why an eligibility hearing has been scheduled and the hearing details.
-  * **[[Closed Conciliated|Closed Conciliated]]:** ** NEED TO LOOK DEFINITION UP IN CASECOMPLETE**
-  * **[[Closed Withdrawn|Closed Withdrawn]]:** ** NEED TO LOOK DEFINITION UP IN CASECOMPLETE**
+  * [[Closed|Closed Claim Ineligible]]: Based upon the review of the information provided by the manufacturer the claim is considered ineligible and will be closed.
-Provide additional notes as you see fit and save the status change {{::status_notes.png|Status Notes}}
+      * A [[Letters|manual letter]] should be sent to consumer and manufacturer indicating that the claim has been closed and why.
-**NOTE:** Once the status change has been made it cannot be altered.
+  * [[Closed|Closed Conciliated]]: The consumer and the manufacturer have come to an agreement prior to arbitration.
+      * A [[Letters|manual letter]] should be sent to consumer, manufacturer and arbitrator indicating that the claim has been closed and why.
+  * [[Closed|Closed Withdrawn]]: The consumer has decided to remove their case from the arbitration process
+      * A [[Letters|manual letter]] should be sent to consumer, manufacturer and arbitrator indicating that the claim has been closed and why.
+Provide additional notes as you see fit and save the status change.  Please use caution when recording claim notes as all parties have access to the notes.
+ {{::status_notes.png|Status Notes}}
+     NOTE: Once the status change has been made it cannot be altered.

Claim Management System (CMS) Wiki

User Tools

Site Tools

Differences

Page Tools