New and Improved Features

Product Level Change

• PMP-74983 Remove "Was treatment provided off site" column in Manage Incident List screen default view
• PMP-58692 As an end user I want to see count of Total Claims Submitted to TPA irrespective of business rules

Configurable

• PMP-76466 As an end user I want to see Employee and Person sections in GL email incident summary

PMP-74983 As an end user I want to see "Was Employee treated offsite?" in Manage Incident List screen default view

Configurable: No

• Title: NA
• Public/Private: NA
• Default: NA

Existing System: 

• Displays "Was treatment provided offsite?" field from Case Management in List screen
• Users confuse it with "Was Employee treated offsite?" field from Report New Incident screen

Purpose: 

• Reduce support issues claiming data mismatch between Incident Summary and Manage Incident list screen

Enhanced System:

• "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 "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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PMP-58692 As an end user I want to see count of Total Claims Submitted to TPA irrespective of business rules

Configurable: No

• Title: NA
• Public/Private: NA
• Default: NA

Existing System: 

• No where in the system users can see count of submitted claims.
• Existing metric TWCC displays only counts with below business rules
  • The question “Was treatment provided offsite” is selected Yes
  • In TPA Cost & Notes screen the TPA Status <> Rejected

Purpose: 

• Provide a metric that displays total count of submitted claims without any filtering
• Consider only approved claims for Claim Rate metric 

Enhanced System:

• 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"
• If there is any Cognos reports built by customers using existing TWCC measure, it needs to be updated

Impacts: Data Mart, Cognos

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PMP-76466 As an end user I want to see Employee and Person sections in GL email incident summary

Configurable: Yes

• Title: Display Employee / Individual Details Section (existing configuration), GL - Enable Person Details Section (existing)
• Public/Private: Public
• Default: 

Existing System: 

• Existing section "Person Details" and new section "Employee / Individual Details" are not available in Email Incident Summary screen as a selection
• As these are not available for selection, respective sections are included in GL incident summary report

Purpose: 

• Close the gap in Email Incident Summary Report functionality

Enhanced System:

• Existing section "Person Details" and new section "Employee / Individual Details" will be displayed in Email Incident Summary screen based on their respective custom settings in reporting screen

Impacts: Reports

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