New and Improved Features

Product Level Change

• PMP-74983 Remove "Was treatment provided offsite" 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

• 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 the List screen
• Users confuse it with the "Was Employee treated offsite?" field from the 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 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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PMP-58692 As an end-user I want to see the number of Total Claims Submitted to TPA irrespective of business rules

Configurable: No

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

Existing System: 

• Nowhere in the system users can see 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

Purpose: 

• Provide a metric that displays the total 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 the actual number of claims submitted
• Existing metric "Total Workers' Compensation Claims" is renamed as "Total Workers' Compensation Valid Claims"
  • The calculation will consider 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 * 200000/Total Hours Worked"
• No impact to Cognos reports built by customers using existing TWCC measure

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: 

• 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:

• 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

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