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claim_contract_resolution
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| Both sides previous revisionPrevious revisionNext revision | Previous revision | ||
| claim_contract_resolution [2022/02/14 11:33] – lisa.maloney | claim_contract_resolution [2025/01/14 17:45] (current) – tina.robles | ||
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| Line 6: | Line 6: | ||
| - XREF_CONTRACT_PAID_CLAIM/ | - XREF_CONTRACT_PAID_CLAIM/ | ||
| - CLAIMANT_CONTRACTEE_MATCH | - CLAIMANT_CONTRACTEE_MATCH | ||
| + | - PAID_CLAIM (Deprecated) | ||
| - CLAIMANT_CONTRACTEE_MATCH_RELAXED | - CLAIMANT_CONTRACTEE_MATCH_RELAXED | ||
| - SAME_CONTRACT_NAME_AS_RESOLVED_LINE | - SAME_CONTRACT_NAME_AS_RESOLVED_LINE | ||
| + | |||
| + | NOTE: Any contracts with a type of AUTOPAY will not be part of the auto matching process for claims to contract. | ||
| ----- | ----- | ||
| Line 33: | Line 36: | ||
| If there is one and only one contract found for the line item’s product and time period where the contractee is the resolved company or group from the Claimant Contractee Xref, then we resolve to that contract. | If there is one and only one contract found for the line item’s product and time period where the contractee is the resolved company or group from the Claimant Contractee Xref, then we resolve to that contract. | ||
| + | ----- | ||
| + | |||
| + | **PAID_CLAIM (Deprecated)** | ||
| + | |||
| + | The system will look for a paid claim driven by the claimant contractee mapping and claimant contract name. If there are multiple contracts only found for the contractee, then a contract would not be matched. | ||
| ----- | ----- | ||
claim_contract_resolution.1644838417.txt.gz · Last modified: 2022/02/14 11:33 by lisa.maloney
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