Code Structure to Define iEnabler Claim Rules {PACS2-14}

This is a user defined Code Structure used to define Claim Types and set the rules that are to be applied for claims submitted through iEnabler Claims system for Secondary contract {PACS2-12}.
If SOD 'CF' is set to 'Y'es {FPRM-9} i.e for a Claims to be submitted in a Date and Time Format.


See iEnabler Claims against Secondary Contracts {P00003-6} for more details.

Fields in the option:


Field Type
&
Length
Description
iEnabler Claim Rule Code A4 iEnabler Claim Rule Code
Description A40 iEnabler Claim Rule Code Description 
Mandatory for Document to be Attached Y/N Indicate whether Supporting Documentation needs to be attached for this claim.
Allow claim on Public Holidays Y/N Indicate on the claim rule whether claims are allowed on Public Holidays
Allow claim on Saturdays Y/N Indicate on the claim rule whether claims are allowed on Saturdays
Allow claim on Sundays Y/N Indicate on the claim rule whether claims are allowed on Sundays
Prohibit Monday to Friday Y/N Indicate on the Claim Rule whether Weekdays are prohibited
From HH:MM Enter the Start Time 
To HH:MM Enter the End Time
Inactive Date D11 Enter a date when the Claim rule is no longer valid.

Example



 


Processing
Rules
 
  No special processing rules


See Also:
History of Changes

Date System Version By Whom Job Description
18-Mar-2020 v04.1.0.0 Kerry-lee Naidoo T239303 New menu for Claim Rules