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titlev21.1

An user can see count of Total Claims Submitted to TPA irrespective of business rules

  • Has a new metric in Metrics screen "Total Workers' Compensation Claims Submitted" that will show Actual number of Claims Submitted
  • Existing metric "Total Workers' Compensation Claims" is renamed as "Total Workers' Compensation Claims Approved"
    • The calculation will consider only Submitted claims where TPA Status is not "Rejected
    • Revised formula will take effect starting year 2021 
  • "Total Workers' Compensation Claims (TWCC) Rate" formula is updated as "Total Workers' Compensation Claims Approved * 200000/Total Hours Worked"

image2021-2-2_21-11-56.pngImage Added


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