Unapproved / Approved But not Final Claims  {FPRIC-5} 


This program should be run prior to running "Copy Claim to PRS {FPRIC-3}" to determine all claims that exist for a payroll cycle that will be excluded from the “Copy Claims to Payroll” process due to the status of the claim being either ‘Not Approved’ or ‘Approved but not Final’.  

The necessary action can then be taken to resolve the status of the Claim prior to running the “Copy Claims to Payroll” process.

This option can be run for :
•    Claims generated from iEnabler Appointment System (Routing Type 'PWAP')
•    Claims generated from iEnabler Claims System (Routing Type 'PACL')
•    Other i.e. where no Routing Number exists
•    All of the above 

User Selection Prompt Text
* an item between square brackets [ ] is the default answer
Type
&
Length
Comments
1 Enter Start Cycle (YYYYMM) N6 Enter the start date from which you want to see Unapproved/Approved but not final Claims
2 Enter End Cycle (YYYYMM) N6 Enter the End date to stop viewing Unapproved/Approved but not final Claims
3 Enter Personnel Number (N9) OR ALL N9   
4 Enter (W)eekly or (M)onthly Personnel A1  
5 Enter Calculation Number N1 Enter the Calc Number
6 Enter status of claims:
Choose One of the Following
N1 1. Unapproved Claims
2. Approved But Not Final
3. Both




7
Enter route Type or ALL, Choose One of the following:
N1



1. Generated via iEnabler Appointments 
2. Generated via iEnabler Claims System 
3. Other Claims 
4. All 
8 Sort Personnel (A)lphanumerically or (N)umerically A1  
 

Sort Order Per Comments
According to User Selection  


System Select  
1 Records to be included
2 Record to be excluded
3 Claims {FPRIC-1} where the Status is : ‘N’ - Not Approved or ‘F’ – Approved but Not Final.


Example
:






Output:






Processing
Rules
 
1 Select Claims for Pay Cycle From and To as entered in the Batch Prompt {FPRIC-1} page 3
2 If the user selects option 1: Generated via iEnabler Appointments
•    Select only data where the routing request number is related to route type “PWAP”
If the user selects option 2: Generated via iEnabler Claims System
•    Select only data where the routing request number is related to route type “PACL”
If the user selects option 3: Other Claims
•    Select only data where no routing request number exists.
If the user selects option 4: All
•    Select all data 
3 Data sorted under headings of Batch Prompt 5 selection.
4 Run Report in Text (txt) format


See Also:

History of Changes

Date System Version By Whom Job Description
24-Jul-2012 v03.0.0.0 Frans Pelser
t178590 New manual.
09-Oct-2015 v03.0.0.1 Sakhile Ntimane t198769 Editing and adding new field.
20-May-2016 v03.0.0.2 Mmasadi Matseke t214310 Editing and adding new fields
19-jun-2020 v04.1.0.0 Kerrylee Naidoo t228797 New report layout and batch prompts
13-Aug-2021 v04.1.0.1 Kerrylee Naidoo t250714 New Jasper format