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match_deductions [2019/08/28 17:07] – lisa.maloney | match_deductions [2024/12/20 20:23] (current) – tina.robles | ||
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The Deduction Matching screen is used to match claims to deductions. | The Deduction Matching screen is used to match claims to deductions. | ||
- | {{:pasted:20181130-184146.png}} | + | {{:pasted:20240823-184918.png}} |
The File Load and File Received Date information can be viewed by clicking the Show Dates button at the bottom of the screen. | The File Load and File Received Date information can be viewed by clicking the Show Dates button at the bottom of the screen. | ||
- | {{:pasted:20181130-184528.png}} | + | {{:pasted:20240823-184953.png}} |
A popup with the date information will display. | A popup with the date information will display. | ||
- | {{:pasted:20181130-184608.png}} | + | {{:pasted:20240823-185020.png}} |
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In each grid, all columns can be filtered by entering data into the text box at the top of the column. | In each grid, all columns can be filtered by entering data into the text box at the top of the column. | ||
- | {{:pasted:20160516-115259.png}} | + | {{:pasted:20240823-185117.png}} |
Slide the vertical grid bar to expand/ | Slide the vertical grid bar to expand/ | ||
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__Mass Update__: The Mass Update feature is available to all users who have access to the deduction matching screen, and the items which are editable are controlled by the user's access roles (defined below). | __Mass Update__: The Mass Update feature is available to all users who have access to the deduction matching screen, and the items which are editable are controlled by the user's access roles (defined below). | ||
- | To perform the mass update, first select the deductions by highlighting the rows. Multiple rows can be selected by using the shift or ctrl keys. If one of the rows selected in the mass update feature is locked by another user, a message will display the information on the deduction which will not be updated. | + | To perform the mass update, first select the deductions by highlighting the rows. Multiple rows can be selected by using the shift or ctrl keys. If one of the rows selected in the mass update feature is locked by another user, a message will display the information on the deduction which will not be updated. |
- | {{:pasted:20190828-164302.png}} | + | {{:pasted:20240823-190547.png}} |
Click the checkbox at the left of the Label, Comment, or CDF that needs to be updated. | Click the checkbox at the left of the Label, Comment, or CDF that needs to be updated. | ||
- | {{: | ||
- | {{: | ||
To navigate back to matching claims and deductions, click the Match Deductions button. | To navigate back to matching claims and deductions, click the Match Deductions button. | ||
- | {{:pasted:20190828-164709.png}} | + | {{:pasted:20240823-190635.png}} |
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When a deduction row is selected, the Claims grid is populated with Probable Matches. | When a deduction row is selected, the Claims grid is populated with Probable Matches. | ||
- | {{:pasted:20181130-185204.png}} | + | {{:pasted:20240823-190818.png}} |
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The above rules are summed into a final ' | The above rules are summed into a final ' | ||
- | {{: | ||
- | To search for claims, click the Fetch Claims button in the Match Actions dropdown. | ||
- | {{:pasted:20160516-115427.png}} | + | To search for claims, click the Match Action and then the Fetch Claims button. |
+ | |||
+ | {{:pasted:20240823-191016.png}} | ||
Enter search criteria and click Fetch. | Enter search criteria and click Fetch. | ||
- | {{:pasted:20160615-110716.png}} | + | {{:pasted:20240823-191035.png}} |
The claims meeting the search criteria will be returned in the Claims grid. | The claims meeting the search criteria will be returned in the Claims grid. | ||
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__Set Deduction Number Hint__ | __Set Deduction Number Hint__ | ||
- | If the claim has been found but can't be matched to a deduction, auto-assign the Deduction Number as the Deduction Number Hint. | + | If the claim has been found but can't be matched to a deduction |
+ | |||
+ | {{: | ||
+ | |||
+ | The Claim State Reasons column shows the header-level reject, on hold, or pending reason in the Matched Deduction | ||
+ | Screen. | ||
+ | |||
+ | {{: | ||
- | {{: | ||
- | {{: | ||
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This grid displays all deductions with an Active State of Open by default. | This grid displays all deductions with an Active State of Open by default. | ||
- | {{:pasted:20160516-115645.png}} | + | {{:pasted:20240823-191412.png}} |
There is a Deduction Label column in the Deductions grid. This column can be manually updated to indicate additional information about the deduction/ | There is a Deduction Label column in the Deductions grid. This column can be manually updated to indicate additional information about the deduction/ | ||
- | {{:pasted:20180601-094706.png}} | + | {{:pasted:20240823-191506.png}} |
__Deduction Comment/ | __Deduction Comment/ | ||
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If the manufacturer has active Client Defined Fields set up for Deductions, those fields will display at the end of the grid. These fields can be modified for a deduction in any state. | If the manufacturer has active Client Defined Fields set up for Deductions, those fields will display at the end of the grid. These fields can be modified for a deduction in any state. | ||
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- | {{: | ||
The type of data that can be entered into the field is dependent on what the CDF (client defined field) is set up as. For example, if the CDF is set up with a numeric data type, then only numbers can be entered into that field. If the type entered does not match what is set up, the field will turn red to indicate the error. | The type of data that can be entered into the field is dependent on what the CDF (client defined field) is set up as. For example, if the CDF is set up with a numeric data type, then only numbers can be entered into that field. If the type entered does not match what is set up, the field will turn red to indicate the error. | ||
- | {{: | + | |
- | + | ||
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**Deducted Claims** | **Deducted Claims** | ||
- | When a deduction row is selected (highlighted) in the Deductions grid, the matched Deducted Claims display in this grid. | + | When a deduction row is selected (highlighted) in the Deductions grid, the matched Deducted Claims display in this grid as well as the claim amount allowed. |
- | {{:pasted:20160516-115753.png}} | + | {{:pasted:20241009-111409.png}} |
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1. Select a deduction row. | 1. Select a deduction row. | ||
- | {{:pasted:20160516-115854.png}} | + | {{:pasted:20240823-191831.png}} |
2. Search for claims then click Match on the Claim row to assign it to the selected deduction. | 2. Search for claims then click Match on the Claim row to assign it to the selected deduction. | ||
- | {{:pasted:20160516-115921.png}} | + | {{:pasted:20240823-191852.png}} |
3. View the matched claim in the Deducted Claims grid. | 3. View the matched claim in the Deducted Claims grid. | ||
- | {{:pasted:20160516-115941.png}} | + | {{:pasted:20240823-191912.png}} |
4. To Un-Match a claim from a deduction, click the Remove button on the claim row in the Deducted Claims grid. | 4. To Un-Match a claim from a deduction, click the Remove button on the claim row in the Deducted Claims grid. | ||
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The Auto Match process does not run when a user is in the Match Deductions screen. | The Auto Match process does not run when a user is in the Match Deductions screen. | ||
- | {{:pasted:20180514-101400.png}} | + | {{:pasted:20240823-192032.png}} |
The Deduction Matching screen can auto-set Deduction Labels based on Deduction State Changes. Users with Edit Labels access will be able to perform this action. | The Deduction Matching screen can auto-set Deduction Labels based on Deduction State Changes. Users with Edit Labels access will be able to perform this action. | ||
- | {{:pasted:20180514-101601.png}} | + | {{:pasted:20240823-192048.png}} |
Clicking the Deduction Maintenance in the Match Actions dropdown will perform the following updates: | Clicking the Deduction Maintenance in the Match Actions dropdown will perform the following updates: | ||
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Deduction state changes to balanced - deduction label updates to None | Deduction state changes to balanced - deduction label updates to None | ||
- | Deduction state changes to complete – deduction label updates to Rebillable | + | Deduction state changes to complete – deduction label updates to Rebillable |
- | updated | + | |
+ | Deduction state changes to complete – deduction label updates to Not Paid at GoSimple if all claims tied to the deduction are rejected for the reason of Not paid at GoSimple. If all claims attached are un-rejected or rejected with a different reason, | ||
+ | |||
+ | Deduction state changes | ||
NOTE: If the Deduction Label is Rebill Sent or Not Paid at GoSimple - Working, clicking the Deduction Maintenance button will NOT update the label on those deductions. | NOTE: If the Deduction Label is Rebill Sent or Not Paid at GoSimple - Working, clicking the Deduction Maintenance button will NOT update the label on those deductions. | ||
+ | |||
+ | **Enhanced Deduction Processing: Implementation of Bulk Matching Capability** | ||
+ | |||
+ | A new multi-claim matching functionality has been implemented within the deduction interface. | ||
+ | * Feature Activation: | ||
+ | * Efficiency Enhancement: | ||
+ | |||
+ | This enhancement significantly improves processing efficiency for complex deduction scenarios requiring multiple claim associations. | ||
+ | |||
+ | {{: | ||
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**Exports** | **Exports** | ||
- | Each grid can be exported by clicking the corresponding Export button. | + | Each grid can be exported by clicking the gear icon in the right top corner of each section of the screen. You can export the data as CSV or Excel |
- | {{:pasted:20160516-120104.png}} | + | {{:pasted:20240823-192225.png}} |
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In the Reporting Menu, select Deduction Report in the Deduction sub-menu. | In the Reporting Menu, select Deduction Report in the Deduction sub-menu. | ||
- | {{:pasted:20181203-195201.png}} | + | {{:pasted:20240823-192313.png}} |
To begin, click Generate or press Enter. | To begin, click Generate or press Enter. | ||
- | {{:pasted:20160516-120214.png}} | + | {{:pasted:20240823-192334.png}} |
The grid will be populated with report data. | The grid will be populated with report data. | ||
- | To export the report, click the Export button. | + | To export the report, click the gear icon to choose your export format. |
- | {{:pasted:20160516-120240.png}} | + | {{:pasted:20240823-192412.png}} |
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- | **Note: | + | |