Telus TPM Documentation
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Claims Pended
The Claims Pended grid displays all claims in a Pended status and a option to view claims by Reason Code.
Claims Pended
The left side of the screen displays the Claim Grid. On this grid, there are two visibility filter options: Claim Visibility Grouping and Visible Indicator.
Claim Visibility Grouping
This column displays the Grouping Description hierarchy for the group which has visibility to the claim based on Claimant. This column can be filtered to a group by entering the text in the column filter and clicking enter.
Visibility Indicator
This column displays True or False. It will display True if the current logged in user is in that Claim Visibility Grouping hierarchy and False if the user is not in that grouping.
In the screenshot below, the user is in both the hierarchy2 and level A groups, but not the level 2 group. To view all pended claims the user is responsible for, simply filter the Visible Indicator column to True.
Oldest Reason Date
This displays the date of the oldest Pend reason for the Claim. Use this column to sort by the oldest Pended Claims.
Contract ID
Clicking the Contract ID will open a new tab for the contract selected. Clicking the Contract ID Hyperlink for a contract not resolved to a specific version will direct the user to the Contract Search screen. The Contract ID will be populated in the search criteria and generate results automatically.
Contract Creator
The Contract Creator First Name and Last Name display on the Pending grid. These columns will be blank if the Contract has not resolved to a specific version, or if there is no Contract assigned to the claim.
Column Filters
All columns have a filter option. Enter text into the field below the column label and click enter to filter the data. To remove a filter, clear the text in the field and click Enter. In the screenshot below, the grid is filtered to pended claims with “09” in the Invoice Number.
Filter Reason Codes
The right side of the screen displays the percentage of claims per Reason Code and a corresponding % of 100. This provides a quick overview of Pendings ranked in default order of greatest to least by reason code. To see the claims pending for that reason, simply click to select a row and claims pending for that reason will populate the grid on the left.
In the below screenshot, 9.87% of claims are pending for Missing manufacturer sku. Clicking on this row in the Filter Reason Codes grid automatically filters by this reason code.
NOTE: Claims and line items can pend for multiple reasons. When PEND (#) is displayed, click on the hyperlink to view all pendings for that claim.
Pie Chart
There is a Pie Chart that displays a visual representation of Pendings by Reason Code.
There are some future enhancements coming for this screen.
