New and Improved Features
Product Level Change
- PMP-74983 Remove "Was treatment provided off siteoffsite" column in Manage Incident List screen default view
- PMP-58692 As an end-user I want to see the count of Total Claims Submitted to TPA irrespective of business rules
Configurable
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Configurable: No
- Title: NA
- Public/Private: NA
- Default: NA
Existing System:
- Displays "Was treatment provided offsite?" field from Case Management in the List screen
- Users confuse it with the "Was Employee treated offsite?" field from the Report New Incident screen
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- "Was treatment provided offsite?" column has been replaced with "Was Employee treated offsite?" in Manage Incident List screen system views
- "Was treatment provided offsite?" will still be available as column selection in Edit Filter
- "Was treatment provided offsite?" will still be available in the "Case Management - Current Year" system view
- "Was treatment provided offsite?" is renamed as "Was treatment provided offsite? (Case Progression)"
Impacts: No Impacts
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the number of Total Claims Submitted to TPA irrespective of business rules
Configurable: No
- Title: NA
- Public/Private: NA
- Default: NA
Existing System:
- No where Nowhere in the system users can see count the number of submitted claims.
- Existing metric TWCC displays only counts with below business rules
- The response to the question “Was treatment provided offsite” is selected Yes
- In TPA Cost & Notes screen the TPA Status <> Rejected
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- Provide a metric that displays the total count number of submitted claims without any filtering
- Consider only approved claims for the Claim Rate metric
Enhanced System:
- Has a new metric in Metrics screen "Total Workers' Compensation Claims Submitted" that will show Actual the actual number of Claims Submittedclaims submitted
- Existing metric "Total Workers' Compensation Claims" is renamed as "Total Workers' Compensation Valid Claims Approved"
- The calculation will happen based on TPA Status<> Rejectedconsider only submitted claims where the TPA Status is not "Rejected"
- The revised formula will take effect starting in the year 2021
- "Total Workers' Compensation Claims (TWCC) Rate" formula is updated as "Total Workers' Compensation Valid Claims Approved * 200000/Total Hours Worked"
- If there is any No impact to Cognos reports built by customers using existing TWCC measure, it needs to be updated
Impacts: No ImpactsData Mart, Cognos
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Configurable: Yes
- Title: Display Employee/Individual Details Section (existing configuration), GL - Enable Person Details Section (existing)
- Public/Private: Public
- Default:
Existing System:
- Existing The existing section "Person Details" and the new section "Employee/Individual Details" are not available in the Email Incident Summary screen as a selection
- As these are not available for selection, respective sections are included in the GL incident summary report
Purpose:
- Close the gap in the Email Incident Summary Report functionality
Enhanced System:
- Existing The existing section "Person Details" and new section "Employee/Individual Details" will be displayed in the Email Incident Summary screen based on their respective custom settings in reporting screen
Impacts: Reports
