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eligibility_pa_review

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Eligibility PA Review

The arbitrator has reviewed all of the documents available to deem whether the claim is eligible to proceed further. A decision has been made.

  • Select the Eligibility PA Review button the summary screen will open up
  • View the arbitrators document by selecting Eligibility Decision

Eligibility Decision Document

There are number of options for handling the worksheet, select the appropriate one.

  • Closed Claim Ineligible: Based upon the information collected, as a PA you have decided the claim holds no ground and should be closed.
  • Closed Withdrawn: The consumer has decided they would no longer like to proceed with the claim.
  • Claim Approved: The claim has been approved.
  • Eligibility Hearing Scheduled: The PA has decided they require additional information from the arbitrator and are pushing the claim back a status.

Provide additional notes as you see fit and save the status change. Status Notes NOTE: Once the status change has been made it cannot be altered.

eligibility_pa_review.1468858264.txt.gz · Last modified: 2019/01/05 22:10 (external edit)