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-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
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"
- No impact to Cognos reports built by customers using existing TWCC measure
Impacts: Data Mart, Cognos
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
