TCM1000411 - How to reject a claim due to a verification failure
Version 1.0
Changes to previous version - new guidance.
Step 1
If you only have to reject the claim, go to Step 2.
If you have to reject the claim and inhibit the award notice, go to Step 3.
Step 2
On the ‘Maintain Worklist’ screen
- select ‘File’ on the toolbar
- select ‘Next Function’. You’ll be taken to the ‘Work Management - Select Next Function’ screen
- select ‘Manage Verification’. You’ll be taken to the ‘Manage Verification Failures’ screen
- select ‘Navigate’ on the toolbar
- select ‘Reject Application’. You’ll be taken to the ‘Reject Application’ screen
- select the reason for rejection from the options available
Note: In a joint claim, you’ll select the appropriate rejection reason for each customer.
- select ‘Add’
- select ‘OK’. You’ll be presented with the question ‘Are you sure you want to reject this application?’
- select ‘Yes’, you’ve rejected the claim.
Step 3
On the ‘Maintain Worklist’ screen
- select ‘File’ on the toolbar
- select ‘Next Function’. You’ll be taken to the ‘Work Management - Select Next Function’ screen
- select ‘Manage Verification’. You’ll be taken to the ‘Manage Verification Failures’ screen
- select ‘Navigate’ on the toolbar
- select ‘Reject Application’. You’ll be taken to the ‘Reject Application’ screen
- select ‘Inhibit Rejection Notice’
Note: You won’t now be able to add a Reason for Rejection.
- select ‘OK’. You’ll be presented with the question ‘Are you sure you want to reject this application?’
- select ‘Yes’, you’ve rejected the claim and inhibited the award notice.